DR. ANDEL ANTHONY HIGGINS MD
NPI 1992267892
Family Medicine in Byron, GA

Q: What is Andel Higgins's NPI number?

The NPI number for Andel Higgins is 1992267892. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Andel Higgins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Andel Higgins was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 01, 2019PECOS EnrolledAccepts Medicare Assignment

82.87/100

CMS Quality Rating

1960 GA-247CONN, BYRON, GA 31008(478) 654-2000 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2022, Jun 8, 2022, Apr 1, 2019 (3 updates tracked since 2019).

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About Dr. Andel Anthony Higgins Md NPPES

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

DR. ANDEL ANTHONY HIGGINS MD (NPI 1992267892) is an individual family medicine provider in Byron, Georgia, licensed in Georgia (91351) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992267892

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANDEL ANTHONY HIGGINSCredential: MD

Location Address1960 GA-247CONNByron, GA 31008

Mailing Address12259 Stillman CtHampton, GA 30228-3515 · (646) 431-0327

Phone(478) 654-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 1, 2019

Last NPPES UpdateJuly 29, 20223 updates tracked since enumeration

NPPES CertifiedJuly 29, 2022

✔ NPI 1992267892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 91351

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 91351 (GA)

1960 GA-247CONN, Byron, GA 31008

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Secondary Practice Locations 2

Location 188 Martin Luther King Jr DrForsyth, GA 31029-1682 · Phone (478) 994-2521

Location 21050 McDonough RdJackson, GA 30233-1524 · Phone (770) 775-7861

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. Andel Anthony 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 ID9436486255

PECOS Enrollment IDI20220610000173

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

Medicare enrollment records show Andel Higgins reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peach Emergency Group LLC

Same address

Emergency Medicine

1960 247 CONNECTOR
Byron, GA 31008

Reassigned Medicare billing, Georgia enrollment
62 clinicians in this Medicare group

NPI 1902165327 (478) 654-2000

Emergency Physicians Of Forsyth, PC

30 mi

Emergency Medicine

88 MARTIN LUTHER KING JR DR
Forsyth, GA 31029

Reassigned Medicare billing, Georgia enrollment
25 clinicians in this Medicare group

NPI 1518488618 (478) 994-2521

Georgia Emergency Group, LLC

51 mi

Emergency Medicine

601 S 8TH ST
Griffin, GA 30224

Reassigned Medicare billing, Georgia enrollment
208 clinicians in this Medicare group

NPI 1952746638 (770) 874-5400

Southland Consolidated Emergency Services, LLC

118 mi

Emergency Medicine

4 MEDICAL DR
Elberton, GA 30635

Reassigned Medicare billing, Georgia enrollment
137 clinicians in this Medicare group

NPI 1174917124 (706) 283-3151

Fort Oglethorpe Emergency Physicians Group LLC

164 mi

Emergency Medicine

2855 OLD HIGHWAY 5
Blue Ridge, GA 30513

Reassigned Medicare billing, Georgia enrollment
124 clinicians in this Medicare group

NPI 1174024376 (323) 486-0060

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

154 services149 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

75 services70 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services27 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110002

Location801 W Gordon StreetThomaston, GA 30286 · Upson County

Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111310

Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County

Emergency services

Monroe County Hospital

Critical Access Hospitals · Forsyth, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111318

Location88 Martin Luther King Jr DriveForsyth, GA 31029 · Monroe County

Emergency services

Wellstar Sylvan Grove Medical Center

Critical Access Hospitals · Jackson, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111319

Location1050 Mcdonough RoadJackson, GA 30233 · Butts County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31008 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

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

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.

82.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.19

Improvement Activities

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 Andel Higgins's NPI number?

The NPI number for Andel Higgins is 1992267892. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Andel Higgins located?

Andel Higgins practices at 1960 Ga-247conn, Byron, GA 31008. The listed phone number is (478) 654-2000.

What is Andel Higgins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andel Higgins enrolled in Medicare?

Yes. Andel 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 Andel Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andel Higgins reassigns Medicare benefits to 5 organizations: Peach Emergency Group LLC (Byron, GA), Emergency Physicians Of Forsyth, PC (Forsyth, GA), Georgia Emergency Group, LLC (Griffin, GA), Southland Consolidated Emergency Services, LLC (Elberton, GA) and Fort Oglethorpe Emergency Physicians Group LLC (Blue Ridge, 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 Andel Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andel Higgins affiliated with any hospitals?

According to CMS data, Andel Higgins is affiliated with Upson Regional Medical Center, Atrium Health Navicent Peach, Monroe County Hospital and Wellstar Sylvan Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Andel Higgins was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.