DR. JOEL EDWARD HIGGINS MD
NPI 1336189414
Hospitalist in Canton, GA
About Dr. Joel Edward Higgins Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOEL EDWARD HIGGINS MD (NPI 1336189414) is an individual hospitalist provider in Canton, Georgia, licensed in Florida (ME179402) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of South Carolina School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Joel Edward 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.
Medicare Billing Reassignments
13Medicare enrollment records show Joel Higgins reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Atlanta Women's Health Group PC
- 77 clinicians in this Medicare group
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 67 clinicians in this Medicare group
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 208 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- 711 clinicians in this Medicare group
Valdosta, GA 31602
- Reassigned Medicare billing, Georgia enrollment
- 183 clinicians in this Medicare group
Pensacola, FL 32501
- Reassigned Medicare billing, Florida enrollment
- 683 clinicians in this Medicare group
Indianapolis, IN 46237
- Reassigned Medicare billing, Indiana enrollment
- 1,396 clinicians in this Medicare group
Marietta, OH 45750
- Reassigned Medicare billing, Ohio enrollment
- 411 clinicians in this Medicare group
Dover, OH 44622
- Reassigned Medicare billing, Ohio enrollment
- 126 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 76 clinicians in this Medicare group
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 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CANTON, GA 30115
CANTON, GA 30115
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 Joel Higgins's NPI number?
The NPI number for Joel Higgins is 1336189414. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Joel Higgins located?
Joel Higgins practices at 450 Northside Cherokee Blvd, Canton, GA 30115. The listed phone number is (404) 303-1224.
What is Joel Higgins's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Joel Higgins enrolled in Medicare?
Yes. Joel 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.
Which organizations bill Medicare for Joel Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joel Higgins reassigns Medicare benefits to 13 organizations: Atlanta Women's Health Group, P.C. (Atlanta, GA), Dhp Of Piedmont PC (Fayetteville, GA), Obhg Georgia, P.C. (Athens, GA), Obhg California PC (Greenville, SC), Sgmc Physician Network Inc (Valdosta, GA) and 8 more organizations, listed in the Medicare section above. Each 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 Joel Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joel Higgins accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Joel Higgins 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 Joel Higgins was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Dr. Joel Edward Higgins, MD · NPI 1336189414
Hospitalist physician in Canton, Georgia. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1336189414 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME179402 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115-8015
- **Phone:** (404) 303-1224 · **Fax:** (404) 303-1325
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Atlanta Women's Health Group, P.C. (NPI 1174501902, Atlanta, GA); Dhp Of Piedmont PC (NPI 1316202609, Fayetteville, GA); Obhg Georgia, P.C. (NPI 1750686838, Athens, GA); Obhg California PC (NPI 1215258892, Greenville, SC); Sgmc Physician Network Inc (NPI 1417597170, Valdosta, GA); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** October 21, 2026
- **Other identifiers:** Other 11D0984976 (GA); Other GRP3569 (GA); Medicaid 000858107C (GA); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1336189414) · Data from the CMS NPPES public registry.