1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile

JASON HIGDON MD
NPI 1497931174
Internal Medicine in Atlanta, GA

Active since January 13, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1525 CLIFTON RD NE, 2ND FLOOR - PATIENT-CENTERED PRIMARY CARE, ATLANTA, GA 30322(404) 778-2050(404) 727-2050 Get Directions Write a Review

NPPES record last updated: August 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Higdon Md NPPES

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

JASON HIGDON MD (NPI 1497931174) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (002662) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Emory University School Of Medicine (2007).

NPPES Registry Identity

NPI1497931174
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJASON HIGDONCredential: MD
Location Address1525 CLIFTON RD NE, 2ND FLOOR - PATIENT-CENTERED PRIMARY CAREAtlanta, GA 30322-4200
Mailing Address1525 Clifton Rd Ne, 2nd Floor - Patient-centered Primary CareAtlanta, GA 30322-4200 · (404) 778-2050 · Fax (404) 727-2050
Phone(404) 778-2050
Fax(404) 727-2050
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2007
Enumeration DateJanuary 13, 2008
Last NPPES UpdateAugust 18, 2012
✔ NPI 1497931174 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 · 002662
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.
1525 CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Jason Higdon 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 ID2466644471
PECOS Enrollment IDI20101008000898
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 5

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.
71 services47 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.
59 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

KAJAL PATEL M.D, M.P.H
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
DR. SHABNAM SHAH M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
HOWA YEUNG M.D.
Dermatology
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
MS. EILEEN MACCALLUM ANP-BC
Nurse Practitioner (Adult Health)
1525 CLIFTON RD NE, SUITE 207
ATLANTA, GA 30322
Dekalb County (404) 778-4451
DR. JULIE JUNGAH KIM
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
ALISON K LEE MD
Dermatology (MOHS-Micrographic Surgery)
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
SIDNEY MONTEZ BARR MD
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
DR. WILLIAM THOMAS BRANCH JR. M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5472

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 Jason Higdon's NPI number?

The NPI number for Jason Higdon is 1497931174. It was assigned to this individual provider in the NPPES registry on January 13, 2008.

Where is Jason Higdon located?

Jason Higdon practices at 1525 Clifton Rd NE 2nd Floor - Patient-Centered Primary Care, Atlanta, GA 30322. The listed phone number is (404) 778-2050.

What is Jason Higdon's specialty?

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

Is Jason Higdon enrolled in Medicare?

Yes. Jason Higdon 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.

What insurance does Jason Higdon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jason Higdon 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.

Is Jason Higdon affiliated with any hospitals?

According to CMS data, Jason Higdon is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Jason Higdon was last updated on August 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.