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WHITNEY ANNE HIGUERA CNM
NPI 1093203820
Advanced Practice Midwife in Austell, GA

Active since April 26, 2018PECOS Enrolled
92.93/100
CMS Quality Rating
1700 HOSPITAL SOUTH DR STE 500, AUSTELL, GA 30106(770) 941-7717 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Whitney Anne Higuera Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY ANNE HIGUERA CNM (NPI 1093203820) is an individual advanced practice midwife in Austell, Georgia, licensed in Georgia (RN223247) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093203820
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameWHITNEY ANNE HIGUERACredential: CNM
Location Address1700 HOSPITAL SOUTH DR STE 500Austell, GA 30106-8159
Mailing Address1700 Hospital South Dr Ste 500Austell, GA 30106-8159
Phone(770) 941-7717
Sole ProprietorNo
Enumeration DateApril 26, 2018
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1093203820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in GA · RN223247
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1700 HOSPITAL SOUTH DR STE 500, Austell, GA 30106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitney Anne Higuera Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Whitney Higuera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
Same address
Obstetrics & Gynecology
1700 HOSPITAL SOUTH DR, SUITE 500
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1134425283 (770) 941-7717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSICA WILLIAMS M.D.
Obstetrics & Gynecology
1700 HOSPITAL SOUTH DR STE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
CHRISTINA MARIE COX M.D.
Obstetrics & Gynecology
1700 HOSPITAL SOUTH DR STE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
BRITTANY L OTT CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR STE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
DR. NICOLE STEPHANIE JOHN M.D.
Obstetrics & Gynecology
1700 HOSPITAL SOUTH DR STE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
MARY KATE SAVARIE
Obstetrics & Gynecology
1700 HOSPITAL SOUTH DR STE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney Higuera's NPI number?

The NPI number for Whitney Higuera is 1093203820. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Whitney Higuera located?

Whitney Higuera practices at 1700 Hospital South Dr Ste 500, Austell, GA 30106. The listed phone number is (770) 941-7717.

What is Whitney Higuera's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Whitney Higuera enrolled in Medicare?

Yes. Whitney Higuera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Whitney Higuera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Higuera reassigns Medicare benefits to Wellstar Medical Group, LLC (Austell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Whitney Higuera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Whitney Higuera accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Whitney Higuera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Whitney Higuera was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.