JAMES S HIXON M.D.
NPI 1356340020
Specialist in Anniston, AL

Q: What is James Hixon's NPI number?

The NPI number for James Hixon is 1356340020. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Q: What is James Hixon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for James Hixon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment

85.87/100

CMS Quality Rating

901 LEIGHTON AVE, SUITE 101, ANNISTON, AL 36207(256) 236-0890(256) 236-7078 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James S Hixon M.d. NPPES

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

JAMES S HIXON M.D. (NPI 1356340020) is an individual specialist in Anniston, Alabama, licensed in Alabama (8206) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1973).

NPPES Registry Identity

NPI1356340020

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJAMES S HIXONCredential: M.D.

Location Address901 LEIGHTON AVE, SUITE 101Anniston, AL 36207-5700

Mailing Address901 Leighton Ave, Suite 101Anniston, AL 36207-5700 · (256) 236-0890 · Fax (256) 236-7078

Phone(256) 236-0890

Fax(256) 236-7078

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1973

Enumeration DateJuly 15, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1356340020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · 8206

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

901 LEIGHTON AVE, Anniston, AL 36207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

James S Hixon M.d. 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 ID3870693773

PECOS Enrollment IDI20070706000303

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 Reassignments

Medicare enrollment records show James Hixon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Medical Center Board

Same address

Neurology

901 LEIGHTON AVE, SUITE 402
Anniston, AL 36207

Reassigned Medicare billing, Alabama enrollment
Medicare enrollment name: The Health Care Authority Of The City Of Anniston
66 clinicians in this Medicare group

NPI 1093189375 (256) 236-1303

Regional Health Management Corporation

0.1 mi

Psychiatry

901 LEIGHTON AVE, STE 204
Anniston, AL 36207

Reassigned Medicare billing, Alabama enrollment
58 clinicians in this Medicare group

NPI 1639466584 (256) 235-5165

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

Areas of Expertise CMS Part B claims 19

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.

109 services91 patients

Stool analysis for blood, by peroxidase activity 82272

A stool analysis for blood, by peroxidase activity, is a test to detect blood in your stool. This test helps identify bleeding in the digestive tract. It involves collecting a stool sample, which is then checked for the presence of blood using a chemical reaction.

95 services88 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

94 services90 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

89 services84 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

86 services86 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

78 services73 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

73 services60 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

62 services62 patients

Breath test analysis for helicobacter pylori 83013

A breath test for Helicobacter pylori is a non-invasive procedure that helps detect bacteria causing stomach issues. You'll swallow a harmless substance containing a special carbon atom. If the bacteria are present, they'll release this atom in your breath, which can be detected.

55 services55 patients

Administration of drug for helicobacter pylori 83014

Administering drugs for Helicobacter pylori involves taking a combination of antibiotics and proton pump inhibitors. This dual therapy helps to eliminate the bacteria from your stomach, reducing symptoms and preventing stomach ulcers or cancer.

55 services55 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services40 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

39 services39 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

37 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

18 services18 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

16 services16 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

14 services14 patients

Monitoring and recording of esophageal function through nasal tube with electrode 91037

This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.

12 services11 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

11 services11 patients

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.

85.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

80.3

Promoting Interoperability

Improvement Activities

Cost

80.96

Reported Quality Measures

Advance Care Plan

81%763 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

38%98 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

85%1,035 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

54%343 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

30%142 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

38%142 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

65%1,912 patients3/55-star benchmark: 100%

e-Prescribing

100%1,485 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

24%676 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

54%1,523 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

16%1,250 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 87% · 948 patients

Patients screened: 89% · 948 patients

86%172 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

40%411 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%306 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 711 patients

Patients totalRate: 14% · 720 patients

15%720 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 ASSOCIATES, P.C.

Specialist

901 LEIGHTON AVE, SUITE 101
ANNISTON, AL 36207

Calhoun County (256) 236-0890

WILLIAM J. FERGSON, JR., MD PC

Specialist

901 LEIGHTON AVE, SUITE 305
ANNISTON, AL 36207

Calhoun County (256) 237-8811

JOSE R. CABALLERO, M.D. P.C.

Pediatrics

901 LEIGHTON AVE
ANNISTON, AL 36207

Calhoun County (256) 236-4845

G.F. ATWELL CORPORATION

Dentist (Oral and Maxillofacial Surgery)

901 LEIGHTON AVE, SUITE 401
ANNISTON, AL 36207

Calhoun County (256) 236-6090

CARLA E CULP LCSW

Social Worker (Clinical)

901 LEIGHTON AVE
ANNISTON, AL 36207

Calhoun County (256) 231-2707

ANNISTON CARDIOLOGY ASSOCIATES, P.A.

Clinic/Center (Medical Specialty)

901 LEIGHTON AVE, SUITE 201
ANNISTON, AL 36207

Calhoun County (256) 236-5181

REGIONAL HEALTH MANAGEMENT CORPORATION

Psychiatry & Neurology (Psychiatry)

901 LEIGHTON AVE, SUITE 301
ANNISTON, AL 36207

Calhoun County (256) 741-1198

REGIONAL MEDICAL CENTER BOARD

Psychiatry & Neurology (Neurology)

901 LEIGHTON AVE, SUITE 402
ANNISTON, AL 36207

Calhoun County (256) 236-1303

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 James Hixon's NPI number?

The NPI number for James Hixon is 1356340020. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is James Hixon located?

James Hixon practices at 901 Leighton Ave Suite 101, Anniston, AL 36207. The listed phone number is (256) 236-0890.

What is James Hixon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Hixon enrolled in Medicare?

Yes. James Hixon 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 James Hixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hixon reassigns Medicare benefits to 2 organizations: Regional Medical Center Board (Anniston, AL) and Regional Health Management Corporation (Anniston, AL). 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 James Hixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hixon accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list James Hixon 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 James Hixon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.