DR. RAYMOND HIGGINBOTHAM (NPI# 1700034501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700034501 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND HIGGINBOTHAM |
| Credential | MD |
| Practice Address |
6325 Hospital Pkwy Emory Johns Creek Hospital - Dept. of Radiology Duluth GA 30097-5775 |
| Mailing Address |
6325 Hospital Pkwy Emory Johns Creek Hospital - Dept. of Radiology Johns Creek GA 30097-5775 |
| Practice Telephone | 6784747025 |
| Practice Fax Number | 6784742025 |
| Mailing Telephone | 6784747024 |
| Mailing Fax Number | 6784747025 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2013-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
67758 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
6325 HOSPITAL PKWY EMORY JOHNS CREEK HOSPITAL - DEPT. OF RADIOLOGY |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-5775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417714 | Lisa Nicole Langlois | Anesthesiologist Assistant | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2020-01-29 |
| 1487019592 | Emily Havens | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2015-12-17 |
| 1205217759 | Stuart Anthony Lehn | Anesthesiology | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2015-06-10 |
| 1861812448 | Emory Johns Creek Hospital | Clinical Medical Laboratory | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2014-04-22 |
| 1083054845 | Michelle R Kress | Radiology | 6325 Hospital Pkwy, Duluth, GA 30097 | 2013-06-26 |
| 1790074292 | Brandon P Miller | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Duluth, GA 30097 | 2011-04-05 |
| 1659557973 | Sonthonax Gay | Physician Assistant | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2008-01-16 |
| 1467650945 | Andaleeb Ali | Internal Medicine | 6325 Hospital Pkwy, Duluth, GA 30097 | 2007-07-06 |
| 1962444612 | Deepalakshmi Nagarajan | Internal Medicine | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2006-06-10 |
| 1699741991 | Suresh Enjeti | Internal Medicine | 6325 Hospital Pkwy, Duluth, GA 30097 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174837231 | Neel Anilkumar Patel | Radiology | 3840 Peachtree Industrial Blvd Ste 2275, Duluth, GA 30096 | 2010-07-31 |
| 1568695690 | Open Mri of Georgia, Inc | Radiology | 10670 Medlock Bridge Rd Ste A, Duluth, GA 30097-8441 | 2009-08-24 |
| 1487745253 | Phyllis Noss | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2006-09-27 |
| 1790711299 | Edward M Wineck | Radiology | 400 E Third Street, Duluth, MN 55805-1951 | 2006-06-25 |
| 1871561803 | Brandon Sang Joon Kang | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2006-03-08 |
| 1558338996 | Northern Imaging of Duluth LLC | Radiology | 930 E 2nd St, Duluth, MN 55805 | 2006-03-03 |
| 1114387529 | P J Noss Corporation | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2016-02-26 |
| 1083054845 | Michelle R Kress | Radiology | 6325 Hospital Pkwy, Duluth, GA 30097 | 2013-06-26 |
| 1578821963 | Gabriel Edwards | Radiology | 400 E 3rd St, Duluth, MN 55805 | 2012-04-24 |
| 1154554145 | Open Mri of Georgia, Inc | Radiology | 6630 Mcginnis Ferry Rd, Duluth, GA 30097-1542 | 2009-08-25 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.