JAMES DYLAN HIGGINS DPT
NPI 1518334481
Physical Therapist in Chapel Hill, NC
About James Dylan Higgins Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES DYLAN HIGGINS DPT (NPI 1518334481) is an individual physical therapist in Chapel Hill, North Carolina, licensed in North Carolina (P18064) and active in the NPI registry since August 2015. He is a graduate of Mercer University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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
James Dylan Higgins Dpt 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
2Medicare enrollment records show James Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greensboro, NC 27410
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Benchmark Physical Therapy Of North Carolina, LLC
- 483 clinicians in this Medicare group
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee and North Carolina enrollments
- Also billed through NPI 1962417444 (North Carolina)
- 641 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27514 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Higgins's NPI number?
The NPI number for James Higgins is 1518334481. It was assigned to this individual provider in the NPPES registry on August 27, 2015.
Where is James Higgins located?
James Higgins practices at 1728 Fordham Blvd Ste 115, Chapel Hill, NC 27514. The listed phone number is (919) 883-4454.
What is James Higgins's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is James Higgins enrolled in Medicare?
Yes. James 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 James Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Higgins reassigns Medicare benefits to 2 organizations: Benchmark Physical Therapy Of Nc, LLC (Greensboro, NC) and Agilitas Usa, Inc. (Kingsport, TN). 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 Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Higgins accept?
Health plans from AmeriHealth Caritas Next list James 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 James Higgins was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.