1. Home
  2. Directory
  3. Georgia
  4. Cumming
  5. Urology
  6. NPI Profile

ANTHONY HIFFA
NPI 1831671536
Urology in Cumming, GA

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Georgia Urology ASC Cumming
0.2 mi
Ambulatory Surgical
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140A
Cumming, GA 30040
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Georgia Urology, PA
  • 115 clinicians in this Medicare group
NPI 1780199356 (770) 889-9737
Urological Professional Services, LLC
22 mi
Urology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
NPI 1033521810 (855) 709-4535

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 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 4

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

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services 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 5

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
ANAND MOHAPATRA MD
Urology
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.

Which organizations bill Medicare for Anthony Hiffa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Hiffa reassigns Medicare benefits to 2 organizations: Georgia Urology ASC Cumming (Cumming, GA) and Urological Professional Services, LLC (Atlanta, 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 Anthony Hiffa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 and 1 other insurer 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, Northside Hospital and Northside Hospital Duluth.

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.