Kelly Billings, PA
Individual provider Active NPI Physician Assistant · Cookeville, TN
NPI 1588024806 · NPPES record last updated Feb 29, 2016
Key facts
- NPI
- 1588024806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2939 (TN)
- Practice address
- 105 S Willow Ave
Cookeville, TN 38501-4667 - Phone
- (931) 526-9518
- Fax
- (931) 372-0087
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Practice addresses (Care Compare)
105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
335 W Spring St
Cookeville, TN 38501-3125
Phone (931) 526-9518
Hospital & facility affiliations
- Cookeville Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329001334 | TN | Practitioner - Physician Assistant | 7911204425 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2939 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic PC | Current |
Accepting new patients | |
| Campbell Clinic, PC | Physician Assistant | Current |
Accepting new patients |
| Campbell Clinic | Past | Accepting new patients |
Locations
1900 W Poplar Ave
Collierville, TN 38017
Phone (901) 759-5491
105 S Willow Ave
Ste 100
Cookeville, TN 38501
Phone (931) 267-4929
105 S Willow Ave
Cookeville, TN 38501
Phone (931) 372-7716
335 W Spring St
Cookeville, TN 38501
Phone (931) 303-0446
35 Taylor Ave
Crossville, TN 38555
Phone (865) 483-8478
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- kelly.billings.1@1366.direct.athenahealth.com
- bkelly@t1ortho.gwaydirect.com
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2939 | TN | Yes |
Addresses
Primary practice location
105 S Willow Ave
Cookeville, TN 38501-4667
Mailing address
105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518
Other providers in Cookeville, TN
- David Scott Bilbrey
- James Patrick Bilbrey
- Kailey Bilbrey
- Leroy V Bilbrey
- Heather Harris Billings
- Shawn A Billingsley
- Katelyn Binkley
- Samuel Zachary Birdwell
- Terann Birdwell
- Valerie Faye Birdwell
All providers in Cookeville, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.