Provider Demographics
NPI:1740258896
Name:HIGGS, SHEARIN NKRUMAH D (MD)
Entity type:Individual
Prefix:DR
First Name:SHEARIN
Middle Name:NKRUMAH D
Last Name:HIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SHEARIN
Other - Middle Name:N
Other - Last Name:MURPHY-HIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:105 CARNEGIE PL
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-3980
Mailing Address - Country:US
Mailing Address - Phone:770-716-7999
Mailing Address - Fax:770-716-8444
Practice Address - Street 1:105 CARNEGIE PL
Practice Address - Street 2:SUITE 103
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-3980
Practice Address - Country:US
Practice Address - Phone:770-716-7999
Practice Address - Fax:770-716-8444
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235177207R00000X
PAMD418863207R00000X
GA67348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH71018Medicare UPIN
PA063028HK1Medicare PIN
PA001899997Medicaid