Individual provider Active NPI

Andrew Tyler Higdon, DC

  • Chiropractor
  • Madison, AL
National Provider Identifier
1598355349
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2676 Issued in AL
Practice address
34 Hughes Rd Ste C
Madison, AL 35758-3000
Phone
(256) 270-9413
NPI assigned
Jan 25, 2021
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2676 AL Primary

Addresses

Primary practice location

34 Hughes Rd Ste C
Madison, AL 35758-3000

Mailing address

704 Beverly Dr
Muscle Shoals, AL 35661-1977
Phone (615) 561-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117002563 AL Practitioner - Chiropractic 4082082318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10200 Eastern Shore Blvd
Suite 106
Spanish Fort, AL 36527-5816
Phone (256) 412-4120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2676ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cejr Health Services, LLC Chiropractor CurrentSince Jul 16, 2023 Accepting new patients
Hsinvestsf Chiropractor CurrentSince Jul 1, 2022 Accepting new patients

Locations

34 Hughes Rd
Ste C
Madison, AL 35758
Phone (256) 270-9413

10200 Eastern Shore Blvd
Ste 106
Spanish Fort, AL 36527
Phone (251) 621-4037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1598355349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BEVERLY DR",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611977",
            "telephone_number": "615-561-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HUGHES RD STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583000",
            "telephone_number": "256-270-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "ANDREW",
        "middle_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.