Individual provider Active NPI

Thomas Jessie Higginbotham, D.C.

  • Chiropractor
  • Scottsboro, AL
National Provider Identifier
1376618108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2186 Issued in AL
Practice address
201 Veterans Dr Ste 106
Scottsboro, AL 35768-2167
Phone
(256) 259-3771
Fax
(256) 232-7512
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2186 AL Primary

Addresses

Primary practice location

201 Veterans Dr Ste 106
Scottsboro, AL 35768-2167

Mailing address

201 Veterans Dr Ste 106
Scottsboro, AL 35768-2167
Phone (256) 259-3771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000175 AL Practitioner - Chiropractic 4880797646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Scottsboro Chiropractic Clinic P.C.Group PAC ID 6709989569, 2 clinicians

Practice addresses (Care Compare)

214 S St
Scottsboro, AL 35768-4332
Phone (256) 259-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2186ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsboro Chiropractic Clinic P.C. Chiropractor CurrentSince Jan 19, 2007 Accepting new patients
Scottsboro Chiropractic Clinic, P.C. Chiropractor Past Accepting new patients

Locations

201 Veterans Dr
Ste 106
Scottsboro, AL 35768
Phone (256) 259-3771

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376618108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VETERANS DR STE 106",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682167",
            "telephone_number": "256-259-3771",
            "fax_number": "256-232-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VETERANS DR STE 106",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682167",
            "telephone_number": "256-259-3771",
            "fax_number": "256-232-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "THOMAS",
        "middle_name": "JESSIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.