Billie Brock, RN..,B.S.N.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

059-03-003-1 Issued in GA

Practice address

29 McEntire St
Carnesville, GA 30521-4083

Phone

(706) 384-2082

Fax

(706) 384-2083

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1366999260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MCENTIRE ST",
            "city": "CARNESVILLE",
            "state": "GA",
            "postal_code": "305214083",
            "telephone_number": "706-384-2082",
            "fax_number": "706-384-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MCENTIRE ST",
            "city": "CARNESVILLE",
            "state": "GA",
            "postal_code": "305214083",
            "telephone_number": "706-384-2082",
            "fax_number": "706-384-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BILLIE",
        "credential": "RN..,B.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "059-03-003-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Andrews, LPN
• Terry Quinton Beusse, DMD
• Maria Isabel Caudell
• Regina Cleveland, LPN
• Angy M. Fowler, RN
• Franklin County BD of Comm. HDM (Franklin County Senior Center)
• Franklin County Board of Health

• Assisted Living Facility in Carnesville, GA
• Providers in Carnesville, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.