Billy St John Collins, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

240 Smith Church Rd Ste B
Roanoke Rapids, NC 27870-4900

Phone

(252) 535-8463

NPI assigned

Jan 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Alabama-Coushatta Tribe of Texas

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Livingston, TX
  • NPI 1326288259
  NPD (past)

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

• Memorial Hospital of Polk County

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992858278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SOMMERSET WAY",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049200",
            "telephone_number": "252-535-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SMITH CHURCH RD STE B",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704900",
            "telephone_number": "252-535-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BILLY",
        "middle_name": "ST JOHN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Clayton
• Jessica Nicole Clements, FNP-BC
• CNC/Access, Inc.
• Karen D Cobbs, M.ED., CCC/SLP, PH.D
• Angela Coggins
• Kathryn Jean Collins, MSW
• Complete Care Behavioral Services, LLC
• Complete Therapy LLC
• Concentric Speech Inc.
• Connections With Care LLC

• Medical Physician Assistant in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.