GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
NPI 1174529192
Clinic/Center - Federally Qualified Health Center (FQHC) in Cumming, GA

Active since June 23, 2005
260 ELM ST, CUMMING, GA 30040(770) 887-1668(770) 781-9937 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 9, 2022, Aug 31, 2020 (3 updates tracked since 2020).

About Georgia Highlands Medical Services, Inc. NPPES

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

GEORGIA HIGHLANDS MEDICAL SERVICES, INC. (NPI 1174529192) is a healthcare organization registered as a federally qualified health center (fqhc) in Cumming, Georgia and active in the NPI registry since June 2005. The organization lists Todd Shifflet, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174529192
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGEORGIA HIGHLANDS MEDICAL SERVICES, INC.
Location Address260 ELM STCumming, GA 30040-2467
Mailing AddressPo Box 307Cumming, GA 30028-0307 · (770) 887-1668 · Fax (770) 781-9937
Fax(770) 781-9937
Organization SubpartNo
Authorized OfficialTodd ShiffletCeo · (770) 887-1668
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1174529192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
260 ELM ST, Cumming, GA 30040

Other Identifiers 2

Medicaid000192574CGA
Medicaid300022400AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Highlands Medical Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Georgia Highlands Medical Services, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner14
Family Practice7
Mental Health Counselor2
Pediatric Medicine2
Clinical Social Worker1
Geriatric Medicine1

Nearest to this location (20)

See all 27
Geriatric Medicine
NPI 1710073507
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841002540
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOSSame address
Family Practice
NPI 1881022309
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOSSame address
Nurse Practitioner
NPI 1578148292
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOSSame address
Clinical Social Worker
NPI 1477107142
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003243494
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOSSame address
Family Practice
NPI 1205880309
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922552124
260 ELM ST
Cumming, GA 30040
(770) 887-1668
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1134197502
475 TRIBBLE GAP RD
Cumming, GA 30040
(770) 887-1668
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1811486244
475 TRIBBLE GAP RD
Cumming, GA 30040
(470) 758-8573
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1457003832
475 TRIBBLE GAP RD
Cumming, GA 30040
(706) 381-6125
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1316661002
7710 MCGINNIS FERRY RD
Suwanee, GA 30024
(770) 268-4361
✔ PECOS✔ Accepts Medicare11 mi
Mental Health Counselor
NPI 1124815618
3919 CARTER RD STE B
Buford, GA 30518
(470) 758-8573
✔ PECOS11 mi
Nurse Practitioner
NPI 1174256663
5959 HIGHWAY 53 E STE 100
Dawsonville, GA 30534
(770) 887-1668
✔ PECOS12 mi
Nurse Practitioner
NPI 1407412042
1655 LEBANON RD STE A
Lawrenceville, GA 30043
(678) 455-0030
✔ PECOS17 mi
Nurse Practitioner
NPI 1053876714
810 PINE ST
Gainesville, GA 30501
(770) 503-1369
✔ PECOS19 mi
Nurse Practitioner
NPI 1245845635
5836 BUFORD HWY STE C
Norcross, GA 30071
(770) 734-9920
✔ PECOS19 mi
Family Practice
NPI 1497932040
220 OAKSIDE LN
Canton, GA 30114
(678) 807-1050
✔ PECOS✔ Accepts Medicare20 mi
Pediatric Medicine
NPI 1326221698
220 OAKSIDE LN
Canton, GA 30114
(678) 807-1050
✔ PECOS20 mi
Family Practice
NPI 1669175980
4500 N SHALLOWFORD RD STE B
Dunwoody, GA 30338
(404) 778-6920
✔ PECOS22 mi
See all 27 clinicians

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

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 Georgia Highlands Medical Services, Inc.'s NPI number?

The NPI number for Georgia Highlands Medical Services, Inc. is 1174529192. It was assigned to this organization in the NPPES registry on June 23, 2005.

Where is Georgia Highlands Medical Services, Inc. located?

Georgia Highlands Medical Services, Inc. is located at 260 Elm St, Cumming, GA 30040. The listed phone number is (770) 887-1668.

What is Georgia Highlands Medical Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Georgia Highlands Medical Services, Inc. enrolled in Medicare?

Yes. Georgia Highlands Medical Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Highlands Medical Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 6 Medicare specialties reassign their Medicare billing to Georgia Highlands Medical Services, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (14), Family Practice (7) and Mental Health Counselor (2). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgia Highlands Medical Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Highlands Medical Services, Inc. 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 Georgia Highlands Medical Services, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.