BILLY L POOLE PA-C
NPI 1588164370
Physician Assistant in Gastonia, NC

Active since February 18, 2018PECOS EnrolledAccepts Medicare Assignment
2555 COURT DR STE 200, GASTONIA, NC 28054(704) 867-2141(704) 867-2308 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 20, 2019, Jun 19, 2019, May 29, 2019 and 13 more (16 updates tracked since 2018).

About Billy L Poole Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILLY L POOLE PA-C (NPI 1588164370) is an individual physician assistant in Gastonia, North Carolina, licensed in North Carolina (0010-07705) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains a secondary practice location in Lincolnton.

NPPES Registry Identity

NPI1588164370
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBILLY L POOLECredential: PA-C
Location Address2555 COURT DR STE 200Gastonia, NC 28054
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Fax(704) 867-2308
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 18, 2018
Last NPPES UpdateSeptember 20, 201916 updates tracked since enumeration
NPI 1588164370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-07705
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2555 COURT DR STE 200, Gastonia, NC 28054

Secondary Practice Location 1

Location 1447 McAlister Rd, Lincoln Medical Plaza IILincolnton, NC 28092-4114 · Phone (980) 212-6500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Billy L Poole Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507120789
PECOS Enrollment IDI20180516001798
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
379 services321 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services157 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
2555 COURT DR STE 200
GASTONIA, NC 28054
Internal Medicine (Clinical Cardiac Electrophysiology)
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Adult Health)
2555 COURT DR STE 200
GASTONIA, NC 28054
Internal Medicine (Cardiovascular Disease)
2555 COURT DR STE 200
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Family)
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Internal Medicine (Interventional Cardiology)
2555 COURT DR STE 200
GASTONIA, NC 28054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Billy Poole's NPI number?

The NPI number for Billy Poole is 1588164370. It was assigned to this individual provider in the NPPES registry on February 18, 2018.

Where is Billy Poole located?

Billy Poole practices at 2555 Court Dr Ste 200, Gastonia, NC 28054. The listed phone number is (704) 867-2141.

What is Billy Poole's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Billy Poole enrolled in Medicare?

Yes. Billy Poole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Billy Poole accept?

Health plans from Blue Cross and Blue Shield of NC list Billy Poole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Billy Poole affiliated with any hospitals?

According to CMS data, Billy Poole is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Billy Poole was last updated on September 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.