Individual provider Active NPI

Cameron Jedidiah Higgins, PA

  • Physician Assistant
  • Greeneville, TN
National Provider Identifier
1841004520
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
580 Van Hill Rd
Greeneville, TN 37745-7608
Phone
(423) 234-1020
Fax
(423) 234-0646
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

580 Van Hill Rd
Greeneville, TN 37745-7608

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 272-9163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331003105 TN Practitioner - Physician Assistant 9830612837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4307 Hwy 68 S
Rogersville, TN 37857-3155
Phone (423) 921-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6479TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Services Consortium of Upper East Tennessee Inc CurrentSince Mar 5, 2025 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Past Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc PastSince Feb 9, 2025 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Past Accepting new patients

Locations

580 Van Hill Rd
Greeneville, TN 37745
Phone (423) 234-1020

4966 Highway 11W
Rogersville, TN 37857
Phone (423) 272-5600

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1841004520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-272-9163",
            "fax_number": "423-921-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VAN HILL RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377457608",
            "telephone_number": "423-234-1020",
            "fax_number": "423-234-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "CAMERON",
        "middle_name": "JEDIDIAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.