Billy Edward Roberts, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000904 Issued in GA

Practice address

1101 Ocilla Rd Ste a
Douglas, GA 31533-2207

Phone

(912) 384-0600

Fax

(912) 384-0601

NPI assigned

Mar 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physician Assistant

Education

Emory University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bacon County Hospital Hospital, Alma, GA, CCN 111327

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: billy.roberts.1@9964.direct.athenahealth.com

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.

• CRH Physician Practices, LLC

  • Multi-Specialty Clinic/Center
  • Douglas, GA
  • NPI 1710046073
  Medicare reassignment Care Compare group
• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124

  GA

  Medicare reassignment NPD
• Coffee County Hospitalist Physicians, LLC

  • Independent Medical Examiner Physician
  • Douglas, GA
  • NPI 1811435464
  Medicare reassignment
• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  NPD (past)
• CRH Physician Practices LLC

  • Otolaryngology Physician
  • Douglas, GA
  • NPI 1003989070
  NPD (past)
• CRH Physician Practices LLC

  • Surgery Physician
  • Waycross, GA
  • NPI 1154794857
  NPD (past)

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

• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1962674176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OCILLA ROAD",
            "address_2": "STE A",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315342207",
            "telephone_number": "912-384-1900",
            "fax_number": "912-383-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OCILLA RD STE A",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332207",
            "telephone_number": "912-384-0600",
            "fax_number": "912-384-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332209",
            "country_code": "US",
            "telephone_number": "912-384-0600",
            "fax_number": "912-384-0601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Wayne St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "GA",
            "postal_code": "315102919",
            "country_code": "US",
            "telephone_number": "912-384-0600",
            "fax_number": "912-384-0601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724A Old Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315011036",
            "country_code": "US",
            "telephone_number": "912-384-1477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BILLY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "000904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "000904",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehabilitation Services of Coffee, Inc
• Renal Hypertension Clinic PC
• Renal Treatment Centers - Mid-Atlantic, Inc.
• Revive Hydration and Functional Health LLC
• Mary Jon Roberson, PA
• Carey Leigh Roberts, NP-C
• Allison Tucker Rodriguez, NP-C
• Jodi Rogers
• Luis David Rojas, D.C.
• Roy Powells Drug Store Inc

• Medical Physician Assistant in Douglas, GA
• Providers in Douglas, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.

Verify at the official NPI Registry.