Development of health and historical tourism routes by communities, Nopphitam District, Nakhon Si Thammarat Province, aims to develop health and historical tourism routes by communities, Nopphitam District, Nakhon Si Thammarat Province. This research is a Mixed Methods Research by collecting qualitative research data and quantitative research. The sample group used in the research consisted of 24 people from 3 villages, namely Village No. 1, Village No. 2 and Village No. 8. The results found that it can be specified in 2tourism routes, namely historical tourism route and health tourism route also 2 tour programs along the tourism routes, namely on the trail of Hakka, and pan for minerals. The results on the development of tourism routes found that the tourist attraction potential in the area of villages, namely Village No. 1, Village No. 2 and Village No. 8, is at high level by the assessor gave an opinion for management potential has mean of 2.48.