ANTHONY HIFFA
NPI 1831671536
Urology in Cumming, GA

Q: What is Anthony Hiffa's NPI number?

The NPI number for Anthony Hiffa is 1831671536. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Q: What is Anthony Hiffa's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Hiffa was last updated on July 9, 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.

Active since August 30, 2018PECOS EnrolledAccepts Medicare Assignment

1800 NORTHSIDE FORSYTH DR STE 370, CUMMING, GA 30041(770) 889-9737 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Aug 30, 2018 (2 updates tracked since 2018).

On this page

About Anthony Hiffa NPPES

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

ANTHONY HIFFA (NPI 1831671536) is an individual urology provider in Cumming, Georgia, licensed in Georgia (97303) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Mercer University School Of Medicine (2019).

NPPES Registry Identity

NPI1831671536

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameANTHONY HIFFA

Location Address1800 NORTHSIDE FORSYTH DR STE 370Cumming, GA 30041-8483

Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040

Phone(770) 889-9737

Sole ProprietorYes

Medical School CMSMercer University School Of MedicineGraduated 2019

Enumeration DateAugust 30, 2018

Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1831671536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in GA · 97303

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1800 NORTHSIDE FORSYTH DR STE 370, Cumming, GA 30041

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

Anthony Hiffa 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 ID3375878374

PECOS Enrollment IDI20240507002779

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 4

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.

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.

51 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 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.

30 services27 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$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.

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.

JULIA CAROLINE BRANCH NURSE PRACTITIONER

Nurse Practitioner (Family)

1800 NORTHSIDE FORSYTH DR STE 370
CUMMING, GA 30041

Forsyth County (770) 889-9737

JALPA PATEL NP

Nurse Practitioner (Family)

1800 NORTHSIDE FORSYTH DR STE 370
CUMMING, GA 30041

Forsyth County (708) 899-7377

HOLLY MARIE SHALHOOP PA-C

Physician Assistant

1800 NORTHSIDE FORSYTH DR STE 370
CUMMING, GA 30041

Forsyth County (770) 889-9737

CAROLINE SUZANNE SCHODOWSKI PAC

Physician Assistant

1800 NORTHSIDE FORSYTH DR STE 370
CUMMING, GA 30041

Forsyth County (770) 889-9737

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 Anthony Hiffa's NPI number?

The NPI number for Anthony Hiffa is 1831671536. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Anthony Hiffa located?

Anthony Hiffa practices at 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041. The listed phone number is (770) 889-9737.

What is Anthony Hiffa's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Anthony Hiffa enrolled in Medicare?

Yes. Anthony Hiffa 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 Anthony Hiffa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Anthony Hiffa 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 Anthony Hiffa affiliated with any hospitals?

According to CMS data, Anthony Hiffa is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Hiffa was last updated on July 9, 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.