Active NPI
Billy Mack Knowles, P.A.
- Physician Assistant
- Brandon, FL
National Provider Identifier
1649208596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3114
- Practice address
- 500 Vonderburg Dr
Suite 311 West
Brandon, FL 33511-5964 - Phone
- (813) 654-2445
- Fax
- (813) 654-9885
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3114 | FL | Primary |
Addresses
Primary practice location
500 Vonderburg Dr
Suite 311 West
Brandon, FL 33511-5964
Mailing address
PO Box 242
Brandon, FL 33509-0242
Phone (813) 654-2445
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Vonderburg Dr
Brandon, FL 33511-5978
Phone (813) 654-2445
Hospital & facility affiliations
- Medical Services of America Home Health
- St Josephs Hospital
- Adventhealth Tampa
- HCA Florida South Shore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Brandon, FL
- NPI 1326143397
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
-
- Home Health Agency
- Tampa, FL
- NPI 1770535890
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649208596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 242",
"city": "BRANDON",
"state": "FL",
"postal_code": "335090242",
"telephone_number": "813-654-2445",
"fax_number": "813-654-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR",
"address_2": "SUITE 311 WEST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115964",
"telephone_number": "813-654-2445",
"fax_number": "813-654-9885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "BILLY",
"middle_name": "MACK",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.