Individual provider Active NPI

Paul P Higgs, ATC, LAT

  • Athletic Trainer
  • Valdosta, GA
National Provider Identifier
1912979543
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
140 Issued in GA
Practice address
2525 N Patterson St
Valdosta, GA 31602-1735
Phone
(229) 253-2889
Fax
(229) 259-5129
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 140 GA Primary

Addresses

Primary practice location

2525 N Patterson St
Valdosta, GA 31602-1735

Mailing address

4524 San Saba Dr
Hahira, GA 31632-2606
Phone (229) 245-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
140GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta State University Athletic Trainer CurrentSince Aug 6, 2019 Accepting new patients
Gcsu Athletic Training Athletic Trainer Past Accepting new patients

Locations

2525 N Patterson St
Valdosta, GA 31602
Phone (229) 253-2889

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1912979543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 SAN SABA DR",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322606",
            "telephone_number": "229-245-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021735",
            "telephone_number": "229-253-2889",
            "fax_number": "229-259-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGS",
        "first_name": "PAUL",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.