Individual provider Active NPI

Emily Dale Billingsley, MD

  • Diagnostic Radiology Physician
  • Panama City, FL
National Provider Identifier
1124084371
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME95565 Issued in FL
Practice address
527 N Palo Alto Ave
Panama City, FL 32401-3639
Phone
(850) 747-4905
Fax
(850) 747-4907
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME95565 FL Primary

Addresses

Primary practice location

527 N Palo Alto Ave
Panama City, FL 32401-3639

Mailing address

PO Box 1770
Panama City, FL 32402
Phone (850) 747-4905

Other identifiers 2

IdentifierTypeStateIssuer
275462200MedicaidFL
53015OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000016 FL Practitioner - Diagnostic Radiology 7113928128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Radiology Womens Imaging Center LLCGroup PAC ID 3375605033, 3 clinicians
Bay Radiology Associates, PLGroup PAC ID 3678540440, 2 clinicians

Practice addresses (Care Compare)

330 W 23Rd St
Suite a
Panama City, FL 32405-4540
Phone (850) 763-2451

521 N Palo Alto Ave
Panama City, FL 32401-3639
Phone (850) 747-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Radiology Associates, PL Diagnostic Radiology CurrentSince Mar 12, 2007 Accepting new patients
Bay Radiology Womens Imaging Center, LLC Diagnostic Radiology CurrentSince Feb 7, 2011 Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients

Locations

330 W 23rd St
Ste D
Panama City, FL 32405

2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188

521 N Palo Alto Ave
Panama City, FL 32401
Phone (850) 763-7458

527 N Palo Alto Ave
Panama City, FL 32401
Phone (850) 763-2451

2933 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 215-9558

330 W 23rd St
Panama City, FL 32405
Phone (850) 763-2451

330 W 23rd St
Ste A
Panama City, FL 32405
Phone (850) 763-2451

Organizations & group practices 3

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1124084371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32402",
            "telephone_number": "850-747-4905",
            "fax_number": "850-747-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N PALO ALTO AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013639",
            "telephone_number": "850-747-4905",
            "fax_number": "850-747-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "EMILY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME95565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275462200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.