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ASHLEY ROSE HIGBY PA
NPI 1679112387
Physician Assistant in Lagrange, GA

Active since December 27, 2019PECOS Enrolled
92.93/100
CMS Quality Rating
1555 DOCTORS DR STE 101, LAGRANGE, GA 30240(706) 803-7540(706) 803-8816 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Nov 15, 2021, Sep 27, 2021 and 1 more (4 updates tracked since 2019).

About Ashley Rose Higby Pa NPPES

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

ASHLEY ROSE HIGBY PA (NPI 1679112387) is an individual physician assistant in Lagrange, Georgia and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1679112387
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY ROSE HIGBYCredential: PA
Location Address1555 DOCTORS DR STE 101Lagrange, GA 30240-4132
Mailing Address1555 Doctors Dr Ste 101Lagrange, GA 30240-4132 · (706) 803-7540 · Fax (706) 803-8816
Phone(706) 803-7540
Fax(706) 803-8816
Sole ProprietorYes
Enumeration DateDecember 27, 2019
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1679112387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1555 DOCTORS DR STE 101, Lagrange, GA 30240
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Secondary Practice Location 1

Location 1475 Seaview AveStaten Island, NY 10305-3436 · Phone (718) 226-9000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Rose Higby Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services27 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.
40 services34 patients
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.
38 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services26 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
28 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN FINCHER MD
Urology
1555 DOCTORS DR STE 101
LAGRANGE, GA 30240
Troup County (706) 803-7540
DR. RICHARD HARRIS JADICK DO
Urology
1555 DOCTORS DR STE 101
LAGRANGE, GA 30240
Troup County (706) 803-7540
JAMES ANFERNEE CUTTS PA-C
Physician Assistant
1555 DOCTORS DR STE 101
LAGRANGE, GA 30240
Troup County (706) 803-7540

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 Ashley Higby's NPI number?

The NPI number for Ashley Higby is 1679112387. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Ashley Higby located?

Ashley Higby practices at 1555 Doctors Dr Ste 101, Lagrange, GA 30240. The listed phone number is (706) 803-7540.

What is Ashley Higby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ashley Higby enrolled in Medicare?

Yes. Ashley Higby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Higby was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.