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Highsmith, Jacob Franklin (Frank)

by Lou Rogers Wehlitz, 1988

1 Sept. 1868–22 June 1939

A 1905 engraving of Jacob Franklin "Frank" Highsmith. Image from Franklin (Frank) Highsmith, surgeon, was born at Hives (now Roseboro), the son of John James and Mary Ann Fowler Highsmith. His father, a well-to-do farmer, supported the Confederacy and fought with the Sixty-first North Carolina Regiment throughout the Civil War; his mother was a descendant of the Parkers, Revolutionary patriots. Young Highsmith attended private schools near his home, Old Salem Academy in Sampson County, and Glenwood Academy in Johnston County. He was graduated from Wake Forest College in 1887 and from Jefferson Medical College, Philadelphia, in 1889, shortly before his twenty-first birthday. In the latter year he began a practice in Fayetteville, but his pursuit of learning was lifelong. He regularly visited the Mayo Clinic in Rochester, Minn., as well as other prestigious hospitals in the United States, and observed hospitals abroad in 1906, 1914, and 1928.

In 1896 Highsmith opened a brick office in the business section of Green Street. The building, which had rooms on the second floor to accommodate patients overnight, quickly assumed the name of Highsmith Hospital. In 1899, Highsmith and Dr. J. H. Marsh, who also had an office on Green Street, joined to establish a three-story hospital—known as the Marsh-Highsmith Hospital—in the same location, extending the building to Market Square. Two years later Highsmith bought out Marsh, enlarged the hospital, and improved the equipment. This hospital was said to be one of the most modern in the South in the early part of the twentieth century. It had operating, anesthetic, sterilizing, and X-ray rooms; a surgeons' washroom and nurses' dressing room; lavatories with porcelain tubs and basins; a kitchen, pantry, and laundry; an elevator, electric lights (and gas lights for emergencies), call bells, telephones, screened windows; a private ambulance service; and rules for patients and visitors similar to hospital rules in force seventy-five years later. There were set rates for ward rooms, private rooms, and special nurses.

Highsmith Hospital was one of the first in the state to establish a training school for nurses; to provide hospital beds; to keep charts, records, and case histories; and to use ultraviolet-ray machines. It also was among the first to have a physiotherapy department and a high-voltage deep X-ray machine. In 1926 the hospital became so crowded, and that part of the town so noisy, that Highsmith erected a larger and even more modern hospital in a quieter location. Then, as from the beginning, the hospital had an outstanding staff. Dr. W. T. Rainey, a leading diagnostician in North Carolina who had begun his career with Highsmith in 1913, remained with the hospital until his death. Highsmith Hospital was one of the first in North Carolina to use insulin in the treatment of diabetes, and Rainey was one of the state's first physicians to acquire the state license then required to administer insulin.

As a boy, Highsmith began to practice surgery on his father's farm to assist animals in distress; his first operation was on a sheep. As a physician, his first operation on a human was for a hernia. In the early days, he sometimes operated on the patients' kitchen tables. While still a young surgeon, he performed so many successful operations, including the removal of large tumors, that he soon became known as "the miracle man."

A postcard, circa 1905-1915,  of Highsmith Hospital in Fayetteville, N.C. Image from the North Carolina Collection, University of North Carolina at Chapel Hill.Highsmith was chief surgeon in his hospital until succeeded by his oldest son, Dacosta. His two other sons, Frank, Jr., and W. C., who became specialists, also joined the staff. In 1949, after Dacosta's death, the hospital was bought and run by a board of directors. In addition to his work at the hospital, Highsmith was surgeon for both the Atlantic Coast Line and the Norfolk and Southern railroads, was a consultant and visiting surgeon in many hospitals in North Carolina and elsewhere, and contributed articles to medical journals. Over the years he was active at various times in the Cumberland County Medical Society (president, 1903), North Carolina Medical Society (first councilor, 1902; president, 1909), the Jefferson Medical College Alumni (president, 1908), American College of Surgeons (life member from 1913), and the Tri-State (North Carolina, South Carolina, and Virginia) Medical Society (president, 1938). He organized the North Carolina Hospital Association and became its first president. Highsmith also was a delegate to the American Medical Society in 1907 and 1908, chairman of the Medical Advisory Board of the United States, and a member of the Mississippi Valley Medical Association.

A man of remarkable energy, he was deacon of the First Baptist Church; a member of the Sons of the Revolution and of the Fayetteville Chamber of Commerce; and a Mason, a Shriner, an Elk, and a Knight of Pythias. He was president of the local Rotary, which he helped organized, and of the National Bank.

On 14 Nov. 1889 Highsmith married Mary Lou White of Sampson County, who survived him. They had eight children: Dr. James Dacosta, Mrs. Mamie Wells, Mrs. Annie Campbell, Juanita (Nita), Mrs. Louise Hardee, Frank (Dr. J. F., Jr.), Bill (Dr. W. C.), and Mrs. Rachel Caldwell. Highsmith died of a heart attack on the farm where he was born. He was buried in Cross Creek Cemetery, Fayetteville.

At his death, Highsmith owned a home on Green Street, a large mountain cottage at Ridgecrest, and the 18,000-acre farm in Sampson County. After his parents' death, he had made the farm into a private recreation center with fishing, hunting, and bathing; it was open to all employees of the Highsmith Hospital.


Samuel A. Ashe, ed., Biographical History of North Carolina, vol. 2 (1905).

Cumberland County Courthouse, Deeds.

Fayetteville Observer, 1 Feb., 1 July 1896, 2 Jan., 5 Sept. 1899, 18 Oct. 1937, 22 June, 15 Nov. 1939, 12 Apr. 1954, 10 Feb. 1963, 17 Sept. 1967.

Charles H. Hamlin, Ninety Bits (1946).

Annette P. Highsmith, Highsmiths in America (1971) and Highsmith Hospital (n.d.).

Highsmith Hospital (portrait).

Miss Nita Highsmith, 608 Forest Rd., Fayetteville, N.C. 28305 (photographs).

Junior Service League, Spirit of Cumberland (1970).

John Oates, Story of Fayetteville (indexed ed., 1972).

Raleigh News and Observer, 5 May 1940.

Lou Rogers, We the People (April 1951 [portrait]).

Warner Wells, Medicine in North Carolina, vol. 1, and Surgical Practice in North Carolina: A Historical Commentary (1954).

Who's Who in America, vol. 18.

Mary Lewis Wyche, The History of Nursing in North Carolina (1938).

Additional Resources:

"Jacob Franklin (Frank) Highsmith, M.D. F.A.C.S." The Charlotte Medical Journal 72, no. 2 (August 1915). (accessed May 7, 2013).

Clement, Melissa High. 2001. 100 years of caring: the history of Highsmith Hospital School of Nursing. Fayetteville, N.C.: Old Mountain Press.

"Highsmith-Rainey Specialty Hospital." Cape Fear Valley Health System. 2012.  (accessed May 7, 2013).

Carter, Kathleen Matthews. Sampson County M.D.'s sponsored by the Auxiliary to the Sampson County Medical Society. Clinton, N.C.:The Commercial Printing Co. 1957. 27-28.  (accessed May 7, 2013).

North Carolina State Historic Preservation Office. National Register of Historic Places:  Haymount Historic District Boundary Increase. By M. Ruth Little, Raleigh, N.C. December 2006.  (accessed May 7, 2013).

Image Credits:

E. G. Williams and Bro. "J. F. Highsmith." Biographical history of North Carolina from colonial times to the present volume 2. Greensboro, N.C.: C. L. Van Noppen. 1905. 173. (accessed May 7, 2013).

"Highsmith Hospital, Fayetteville, N.C." in Durwood Barbour Collection of North Carolina Postcards (P077), North Carolina Collection Photographic Archives, Wilson Library, UNC-Chapel Hill. 57-58.   (accessed May 7, 2013).


I am a native of Fayetteville, North Carolina, and I have written 3 books about this historic city. One of my books "Fayetteville, North Carolina: A Pictorial History" is now sealed into a "Time Capsule" at Point News across from the Hay Street Methodist Church. Two different Mayor's of Fayetteville have awarded me plaques for serving as an Ambassador for the city, and for collecting more than 1,000 photographs of Fayetteville as it was in the past. Although I have never found any evidence of anyone being hanged near the Market House in downtown Fayetteville, I have recently heard that criminals were once hanged at the Market House. I do know that when I was a young boy living at 109 Rowan Street near Saint James Square, there was a tree that everyone called "The Hanging Tree" in front of the old Cumberland County jail that was in the 100 block of Grove Street not far from my home. When I was about 10 years old I saw the City of Fayetteville cut that tree down. In one of my 3 books about Fayettteville, there is a drawing of a 3 story jail on Russell Street where there was a mechanical gallows that was used to hang criminals. If you have any verification about any of these 3 places where criminals were hanged, please email me. The main thing I want to know is: Was anyone ever hanged at the Market House?

Weeks Parker


i am sending your comment to our referebc librarians who can assust you. 

Erin Bradford, Government and Heritage Library 

I read the article about Dr Highsmith with interest. My recall (5 years of age) we moved to Fayetteville (1940s)from Florence, SC and my father was employed by Holmes Electric Company. My recollection is we lived in the operating room of the old Highsmith hospital next to the Baptist church and next door to the phone company. I remember there was a sun porch on that building that faced the Baptist church.

I would like info. pertaining to Highsmith Hospital in 1956- There was a nurse there named: Cynthia Vernease; she named my sister Cynthia Vernease. Thank You & God Bless You!

Hi Easter,

Thank you for visiting NCpedia. I am going to forward your request to our reference team.

Francesca Evans, Government

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