Individual provider Active NPI

Amelia Mae Higginbottom, NP

  • Family Nurse Practitioner
  • Tremont, MS
National Provider Identifier
1609093665
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R560499 Issued in MS
Practice address
12725 Hwy 23 N
Tremont, MS 38876-0122
Phone
(662) 652-3361
Fax
(662) 652-3363
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R560499 MS
Family Nurse Practitioner 363LF0000X R560499 MS Primary

Addresses

Primary practice location

12725 Hwy 23 N
Tremont, MS 38876-0122

Mailing address

PO Box 122
Tremont, MS 38876-0122
Phone (662) 652-3361

Other identifiers 1

IdentifierTypeStateIssuer
00116038MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100416000034 MS Practitioner - Nurse Practitioner 7113054529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Family Health Services, Inc.Group PAC ID 4082509492, 22 clinicians

Practice addresses (Care Compare)

12725 Hwy 23 N
Access Family Health Tremont Clinic
Tremont, MS 38876-0122
Phone (662) 652-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R560499MSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Services, Inc. Current Accepting new patients
Access Family Health Services, Inc. CurrentSince Jan 5, 2010 Accepting new patients
Access Family Health Services, Inc. CurrentSince Jan 5, 2010 Accepting new patients
Access Family Health Services, Inc. Past Accepting new patients

Locations

106 Walker St
Houlka, MS 38850
Phone (662) 568-3316

60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637

Interoperability endpoints

  • Direct secure messaging: amelia.higginbottom.1@14756.direct.athenahealth.com

Organizations & group practices 4

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1609093665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "TREMONT",
            "state": "MS",
            "postal_code": "388760122",
            "telephone_number": "662-652-3361",
            "fax_number": "662-652-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 HWY 23 N",
            "city": "TREMONT",
            "state": "MS",
            "postal_code": "388760122",
            "telephone_number": "662-652-3361",
            "fax_number": "662-652-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTTOM",
        "first_name": "AMELIA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "R560499",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R560499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116038",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremont, MS

Sources for this page

Verify at the official NPI Registry.