HIGHLANDS MEDICAL PLAZA
NPI 1407306418
Clinic/Center - Federally Qualified Health Center (FQHC) in Cumming, GA
About Highlands Medical Plaza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIGHLANDS MEDICAL PLAZA (NPI 1407306418) is a healthcare organization registered as a federally qualified health center (fqhc) in Cumming, Georgia and active in the NPI registry since October 2016. The organization lists Todd Shifflet, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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)
Highlands Medical Plaza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Highlands Medical Plaza, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 27Source: 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 1407306418. It was assigned to this organization in the NPPES registry on October 13, 2016. The provider is doing business as Highlands Medical Plaza.
Where is Georgia Highlands Medical Services, Inc located?
Georgia Highlands Medical Services, Inc is located at 475 Tribble Gap Rd, 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, 3 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 May 9, 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.
# Highlands Medical Plaza · NPI 1407306418
Federally Qualified Health Center (FQHC) organization in Cumming, Georgia. Organization record, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1407306418 (Entity type: Organization)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Georgia Highlands Medical Services, Inc
- **Organization subpart:** No
- **Authorized official:** Todd Shifflet, CEO
## Practice location
- **Address:** 475 TRIBBLE GAP RD, Cumming, GA 30040-2478
- **Phone:** (770) 887-1668 · **Fax:** (770) 781-9937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (7), Mental Health Counselor (2); 3 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1407306418/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2022
- **Other identifiers:** Other GRP1700 (GA); Medicaid 003183795A (GA); Medicaid 300022400A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407306418) · Data from the CMS NPPES public registry.