Individual provider Active NPI

Andel Anthony Higgins, MD

  • Family Medicine Physician
  • Byron, GA
National Provider Identifier
1992267892
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
91351 Issued in GA
Practice address
1960 Ga-247Conn
Byron, GA 31008
Phone
(478) 654-2000
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 91351 GA
Family Medicine Physician 207Q00000X 91351 GA Primary

Addresses

Primary practice location

1960 Ga-247Conn
Byron, GA 31008

Mailing address

12259 Stillman CT
Hampton, GA 30228-3515
Phone (646) 431-0327

Other practice location 1

88 Martin Luther King Jr Dr
Forsyth, GA 31029-1682
Phone (478) 994-2521

Other practice location 2

1050 McDonough Rd
Jackson, GA 30233-1524
Phone (770) 775-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220610000173 GA Practitioner - Family Practice 9436486255 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Emergency Group LLC 26 clinicians
Southland Consolidated Emergency Services LLC 68 clinicians

Practice addresses (Care Compare)

1960 Ga Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-8400

88 Martin Luther King Jr Dr
Forsyth, GA 31029-1682
Phone (478) 994-2521

Hospital & facility affiliations

  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Monroe County Hospital Hospital, Forsyth, GA, CCN 111318
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002
  • Wellstar Sylvan Grove Medical Center Hospital, Jackson, GA, CCN 111319

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91351GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Emergency Group LLC Emergency Medicine CurrentSince Jun 5, 2022 Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Emergency Physicians of Forsyth, PC Emergency Medicine CurrentSince Jun 25, 2022 Accepting new patients
Southland Consolidated Emergency Services, LLC Emergency Medicine CurrentSince Nov 14, 2024 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Health Services of Central Georgia, Inc Family Medicine PastSince Aug 1, 2013 Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ahiggins433902@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1992267892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12259 STILLMAN CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283515",
            "telephone_number": "646-431-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 GA-247CONN",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "31008",
            "telephone_number": "478-654-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "GA",
            "postal_code": "310291682",
            "country_code": "US",
            "telephone_number": "478-994-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 McDonough Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "GA",
            "postal_code": "302331524",
            "country_code": "US",
            "telephone_number": "770-775-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "ANDEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "91351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "91351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.