Billy Atherton, PA - C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-005562 Issued in VA

Practice address

601 Independence Rd
Hurlburt Field, FL 32544-5601

Phone

(850) 881-5656

NPI assigned

May 28, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1730591595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 INDEPENDENCE RD",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 INDEPENDENCE RD",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445601",
            "telephone_number": "850-881-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Jb Andrews",
            "state": "MD",
            "postal_code": "207626601",
            "country_code": "US",
            "telephone_number": "240-612-1201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5955 Zeamer Ave",
            "address_purpose": "LOCATION",
            "city": "Jber",
            "state": "AK",
            "postal_code": "995063702",
            "country_code": "US",
            "telephone_number": "907-551-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHERTON",
        "first_name": "BILLY",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "1127030",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Govinda Allin, DMD
• Amilia Owens Almosara, IDMT
• Angel D. Alvarez, D.M.D.
• Noreen Katrina Marcelo Arias
• Erik Henrik Arve, DPT
• Pascha Avery, LMHC
• Christopher E Backus, M.D.
• Brendon Baez, IDMT
• Jillian Bailie
• Charles G Baldwin, MD

• Physician Assistant in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.