TRACI DAVIS SUBER WHNP
NPI 1962628966
Nurse Practitioner - Women's Health in Hattiesburg, MS

Q: What is Traci Suber's NPI number?

The NPI number for Traci Suber is 1962628966. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Traci Davis Speights.

Q: What is Traci Suber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Traci Suber was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment

421 S 28TH AVE STE 200, HATTIESBURG, MS 39401(601) 268-5640(601) 579-5240 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2020, Jun 4, 2020, Nov 15, 2018 (3 updates tracked since 2018).

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About Traci Davis Suber Whnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI DAVIS SUBER WHNP (NPI 1962628966) is an individual women's health provider in Hattiesburg, Mississippi, licensed in Mississippi (R814179) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1962628966

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameTRACI DAVIS SUBERCredential: WHNP

Location Address421 S 28TH AVE STE 200Hattiesburg, MS 39401-7208

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 268-5640 · Fax (601) 579-5240

Phone(601) 268-5640

Fax(601) 579-5240

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateApril 18, 2007

Last NPPES UpdateAugust 11, 20203 updates tracked since enumeration

NPPES CertifiedAugust 11, 2020

✔ NPI 1962628966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MS · R814179

Also ListedNurse PractitionerTaxonomy 363L00000X · License 814179 (MS)

421 S 28TH AVE STE 200, Hattiesburg, MS 39401

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Other Names 1

Other Name (5)Traci Davis Speights

Other Identifiers 4

Medicaid00118984MS

Other12181303MS · Caqh Id #

Other2285175MS · United Healthcare

Other7059463MS · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Traci Davis Suber Whnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305930587

PECOS Enrollment IDI20070919000234

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINA LYNN GOODRIDGE MD

Obstetrics & Gynecology