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

Emilia Higinbotham

Individual provider Physician Assistant · NPI 1104717156

Emilia Higinbotham is a Physician Assistant in Peabody, Massachusetts. Qualified in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

2 Pontiac Rd
Peabody, MA 01960-3320
Phone: (978) 587-6310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104717156
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Peabody