Individual provider Active NPI

Billy Joe Golden Jr., NP

  • Nurse Practitioner
  • Flomaton, AL
National Provider Identifier
1700182755
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-091623 Issued in AL
Practice address
174 Highway 113
Flomaton, AL 36441-4556
Phone
(251) 296-2456
NPI assigned
Feb 8, 2011
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-091623 AL Primary

Addresses

Primary practice location

174 Highway 113
Flomaton, AL 36441-4556

Mailing address

174 Highway 113
Flomaton, AL 36441-4556
Phone (251) 296-2456

Other identifiers 1

IdentifierTypeStateIssuer
3267OtherRNP RX NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000881 AL Practitioner - Nurse Practitioner 7416134689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D.W. McMillan Memorial HospitalGroup PAC ID 3072558378, 18 clinicians

Practice addresses (Care Compare)

174 Hwy 113
Flomaton, AL 36441-4556
Phone (251) 296-2456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-091623ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D W McMillan Memorial Hospital CurrentSince Apr 13, 2025 Accepting new patients
D.W. McMillan Memorial Hospital Current Accepting new patients
D.W. McMillan Memorial Hospital CurrentSince Apr 13, 2025 Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

174 Highway 113
Flomaton, AL 36441
Phone (251) 296-2456

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1700182755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HIGHWAY 113",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364414556",
            "telephone_number": "251-296-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HIGHWAY 113",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364414556",
            "telephone_number": "251-296-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "BILLY",
        "middle_name": "JOE",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-091623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RNP RX NUMBER",
            "identifier": "3267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flomaton, AL

Sources for this page

Verify at the official NPI Registry.