Individual provider Active NPI

Billy Jack Atkins, M.D.

  • Obstetrics & Gynecology Physician
  • Huntsville, TX
National Provider Identifier
1467447334
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D4017 Issued in TX
Practice address
260 Ih 45 S
Suite a
Huntsville, TX 77340-4958
Phone
(936) 295-6436
Fax
(936) 295-6616
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D4017 TX Primary

Addresses

Primary practice location

260 Ih 45 S
Suite a
Huntsville, TX 77340-4958

Mailing address

260 Ih 45 S
Suite a
Huntsville, TX 77340-4958
Phone (936) 295-6436

Other identifiers 1

IdentifierTypeStateIssuer
123061701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120509000730 TX Practitioner - Obstetrics/Gynecology 3173558699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D4017TXMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: hmhbatkin@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1467447334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 IH 45 S",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404958",
            "telephone_number": "936-295-6436",
            "fax_number": "936-295-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 IH 45 S",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404958",
            "telephone_number": "936-295-6436",
            "fax_number": "936-295-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "BILLY",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "D4017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123061701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.