DR. STACY M HIGGINS MD
NPI 1215033766
Internal Medicine in Atlanta, GA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
49 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 778-1622(404) 778-1602 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stacy M Higgins Md NPPES

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

DR. STACY M HIGGINS MD (NPI 1215033766) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (470906) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Js Weill Medical College, Cornell University (1995).

NPPES Registry Identity

NPI1215033766
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. STACY M HIGGINSCredential: MD
Location Address49 JESSE HILL JR DR SEAtlanta, GA 30303-3049
Mailing Address49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049 · (404) 778-1622 · Fax (404) 778-1602
Fax(404) 778-1602
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1995
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215033766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 470906
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

49 JESSE HILL JR DR SE, Atlanta, GA 30303

Other Identifiers 2

Medicare UPING73457GA
MedicaidREF000110932GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacy M Higgins Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991829152
PECOS Enrollment IDI20100825000855
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Neurological Surgery
49 JESSE HILL JR DR SE, FACULTY OFFICE BUILDING #337
ATLANTA, GA 30303
Internal Medicine
49 JESSE HILL JR DR SE, EMORY UNIV. FACULTY OFFICE BLDG
ATLANTA, GA 30303
Pediatrics
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Rheumatology)
49 JESSE HILL JR DR SE, RHEUMATOLOGY
ATLANTA, GA 30303
Internal Medicine (Infectious Disease)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Orthopaedic Surgery (Orthopaedic Trauma)
49 JESSE HILL JR DR SE, SUITE 319
ATLANTA, GA 30303

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 Stacy Higgins's NPI number?

The NPI number for Stacy Higgins is 1215033766. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Stacy Higgins located?

Stacy Higgins practices at 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 778-1622.

What is Stacy Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stacy Higgins enrolled in Medicare?

Yes. Stacy Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stacy Higgins affiliated with any hospitals?

According to CMS data, Stacy Higgins is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Higgins was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.