DR. KRISTIN ANN HIGGINS MD
NPI 1730353327
Radiology - Radiation Oncology in Atlanta, GA

Active since April 15, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE, RADIATION ONCOLOGY, ATLANTA, GA 30322(404) 778-3473 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kristin Ann Higgins Md NPPES

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

DR. KRISTIN ANN HIGGINS MD (NPI 1730353327) is an individual radiation oncology provider in Atlanta, Georgia, licensed in Georgia (65675) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Tulane University School Of Medicine (2006).

NPPES Registry Identity

NPI1730353327
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameDR. KRISTIN ANN HIGGINSCredential: MD
Location Address1365 CLIFTON RD NE, RADIATION ONCOLOGYAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne, Radiation OncologyAtlanta, GA 30322-1013 · (404) 778-3473
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2006
Enumeration DateApril 15, 2008
Last NPPES UpdateDecember 6, 2012
✔ NPI 1730353327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in GA · 65675✔ Licensed in NC · 135303
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1365 CLIFTON RD NE, Atlanta, GA 30322

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

Dr. Kristin Ann Higgins 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 ID1557531894
PECOS Enrollment IDI20110824000668
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

2

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

Clinic/Center
615 PEACHTREE ST NE
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 44 clinicians in this Medicare group
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 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.

Hospital Affiliations CMS Care Compare 2

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

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
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.

Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Ambulatory Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322

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 Kristin Higgins's NPI number?

The NPI number for Kristin Higgins is 1730353327. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Kristin Higgins located?

Kristin Higgins practices at 1365 Clifton Rd NE Radiation Oncology, Atlanta, GA 30322. The listed phone number is (404) 778-3473.

What is Kristin Higgins's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Kristin Higgins enrolled in Medicare?

Yes. Kristin 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 Kristin Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Higgins reassigns Medicare benefits to 2 organizations: Georgia Protoncare Center, Inc. (Atlanta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, GA). 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 Kristin Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Higgins accept?

Health plans from Oscar Health list Kristin 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.

Is Kristin Higgins affiliated with any hospitals?

According to CMS data, Kristin Higgins is affiliated with Emory University Hospital and Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Kristin Higgins was last updated on December 6, 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.