Individual provider Active NPI

Traci Higginbotham, CRNP

  • Gerontology Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1205375730
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-131304 Issued in AL
Practice address
2703 7TH St
Tuscaloosa, AL 35401-1865
Phone
(205) 759-8470
Fax
(205) 366-9001
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-131304 AL Primary

Addresses

Primary practice location

2703 7TH St
Tuscaloosa, AL 35401-1865

Mailing address

2703 7TH St
Tuscaloosa, AL 35401-1865
Phone (205) 759-8470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323000149 AL Practitioner - Nurse Practitioner 0345525986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Alabama AIDS Outreach IncGroup PAC ID 7517212376, 16 clinicians

Practice addresses (Care Compare)

2703 7TH St
Tuscaloosa, AL 35401-1865
Phone (205) 759-8470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc CurrentSince Jan 1, 2025 Accepting new patients
DCH Healthcare Authority Current Accepting new patients
West Alabama AIDS Outreach Inc Current Accepting new patients
West Alabama Palliative Care Service LLC CurrentSince Feb 11, 2017 Accepting new patients
Carelon Medical Partners, PC CurrentSince Feb 5, 2018 Accepting new patients

Locations

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

1820 Rice Mine Rd N
Ste 200
Tuscaloosa, AL 35406
Phone (205) 333-4656

1110 Dr Edward Hillard Dr
Ste A
Tuscaloosa, AL 35401

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

Interoperability endpoints

  • Direct secure messaging: traci.higginbotham.1@30992.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1205375730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011865",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011865",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "TRACI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-131304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.