Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack W. Higginbotham, MD

Individual provider Diagnostic Radiology Physician · NPI 1700859253

Dr. Jack W. Higginbotham, MD is a Diagnostic Radiology in Charlottesville, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 1999, 27 years ago. Practices with Charlottesville Radiology Ltd, a 10-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
27
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 Martha Jefferson Dr Charlottesville Radiology
Charlottesville, VA 22911-4668
Phone: (434) 244-4580
Fax: (434) 244-4579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101232780 (VA)

Record details

NPI number1700859253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing addressPo Box 197, State College, PA 16804-0197

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Charlottesville Radiology Ltd — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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