Individual provider Active NPI

James T Highsmith, MD, MS

  • MOHS-Micrographic Surgery Physician
  • Lutz, FL
National Provider Identifier
1760427165
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME124442 Issued in FL
Practice address
1809 Collier Pkwy
Lutz, FL 33549
Phone
(813) 979-0000
Fax
(813) 533-5419
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD33308 AL
Physician Assistant 363A00000X PA9102034 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME124442 FL Primary

Addresses

Primary practice location

1809 Collier Pkwy
Lutz, FL 33549

Mailing address

1809 Collier Pkwy
Lutz, FL 33549-8718
Phone (813) 979-0000

Other practice location 1

2100 16th Ave S
202
Birmingham, AL 35205-5021
Phone (205) 933-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902000469 FL Practitioner - Dermatology 6800119918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K Wade Foster MD PAGroup PAC ID 3173663374, 17 clinicians

Practice addresses (Care Compare)

700 SE 5TH Ter
Unit 7 8
Crystal River, FL 34429-4878
Phone (855) 353-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision236
Removal of tissue1-10
Removal of skin lesions59
Removal of skin cancer521
Skin biopsy26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MD33308ALMDMOHS-Micrographic Surgery Physician
ME124442FLMDMOHS-Micrographic Surgery Physician
PA9102034FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
K Wade Foster MD PA Mohs-Micrographic Surgery CurrentSince Jul 15, 2024 Accepting new patients
Douglas K Pierce MD PA PastSince Jul 1, 2015 Accepting new patients
Skin Diagnostics Group, PC Past Accepting new patients

Locations

700 SE 5th Ter
Ste 7
Crystal River, FL 34429
Phone (352) 563-1720

700 SE 5th Ter
Unit 78
Crystal River, FL 34429

421 Linden Ln
Lake Wales, FL 33853
Phone (863) 293-2147

1450 6th St SE
Winter Haven, FL 33880
Phone (863) 293-2147

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jhighsmith@centralflderm.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1760427165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 COLLIER PKWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335498718",
            "telephone_number": "813-979-0000",
            "fax_number": "813-533-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 COLLIER PKWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-979-0000",
            "fax_number": "813-533-5419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 16th Ave S",
            "address_2": "202",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352055021",
            "country_code": "US",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGHSMITH",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "MD33308",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102034",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME124442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.