DR. ANDEL ANTHONY HIGGINS (MD) – Family Medicine Physician, NPI 1992267892
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for DR. ANDEL ANTHONY HIGGINS (MD)
88 Martin Luther King Jr Dr
Forsyth, GA 310291682
Phone: (478) 994-2521
Type: Location
1050 McDonough Rd
Jackson, GA 302331524
Phone: (770) 775-7861
Type: Location
Eisenhower Parkway, Macon, Bibb County, Georgia, 31206, United States
MACON, GA 31206
Phone: (478) 633-5560
Type: Location
12259 STILLMAN CT
HAMPTON, GA 302283515
Phone: (646) 431-0327
Type: Mailing
1960 GA-247CONN
BYRON, GA 31008
Phone: (478) 654-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220610000173 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 186 | 175 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 87 | 81 | $0 |
| 99291 | Critical care, first 30-74 minutes | 36 | 35 | $0 |
| 99292 | Critical care, each additional 30 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 31029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine, Geriatric Medicine | CT | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Internal Medicine | GA | |
| Emergency Medicine | LA |
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