Active NPI
Tracey Botha, M.D.
- Obstetrics & Gynecology Physician
- Gainesville, FL
National Provider Identifier
1063486066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME90653
- Practice address
- 2727 NW 43Rd St Ste 1a
Gainesville, FL 32606-6632 - Phone
- (352) 339-4845
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME90653 | FL | Primary |
Addresses
Primary practice location
2727 NW 43Rd St Ste 1a
Gainesville, FL 32606-6632
Mailing address
2727 NW 43Rd St Ste 1a
Gainesville, FL 32606-6632
Phone (352) 262-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272547900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1063486066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 NW 43RD ST STE 1A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066632",
"telephone_number": "352-262-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 NW 43RD ST STE 1A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066632",
"telephone_number": "352-339-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTHA",
"first_name": "TRACEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME90653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272547900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.