BILLY MERRILL ELLIOTT III
NPI 1790243293
Physician Assistant - Medical in Jacksonville, FL

Q: What is Billy Elliott's NPI number?

The NPI number for Billy Elliott is 1790243293. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Q: What is Billy Elliott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Billy Elliott was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 04, 2019PECOS Enrolled

3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 702-6089 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Mar 4, 2019 (2 updates tracked since 2019).

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About Billy Merrill Elliott Iii NPPES

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

BILLY MERRILL ELLIOTT III (NPI 1790243293) is an individual medical provider in Jacksonville, Florida and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790243293

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBILLY MERRILL ELLIOTT III

Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207

Mailing Address11692 Tanager DrJacksonville, FL 32225-2570 · (904) 654-8294

Phone(904) 702-6089

Sole ProprietorNo

Enumeration DateMarch 4, 2019

Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2021

✔ NPI 1790243293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License 525082 (FL)

3625 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Billy Merrill Elliott Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

30 services30 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

14 services13 patients

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.

LINDSAY MICHELLE PUTKOWSKI CRNA

Nurse Anesthetist, Certified Registered

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

KENNETH AUNG-DIN MD

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 399-6811

MRS. GLORIANNE BOYD RD,LD/N

Dietitian, Registered

3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216

Duval County (904) 399-6313

PETER LOUIS KOVACS MD

Anesthesiology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 421-2119

NAKISH DANIELLE GRANT M.D.

General Practice

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

SUMMIT EMERGENCY PHYSICIANS, LLC

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (469) 401-2386

KELLY MICHELLE DEWIT PHARMD

Pharmacist

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6160

DR. JUDY BOWERS M.D.

Obstetrics & Gynecology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6850

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 Elliott's NPI number?

The NPI number for Billy Elliott is 1790243293. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Billy Elliott located?

Billy Elliott practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6089.

What is Billy Elliott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Billy Elliott enrolled in Medicare?

Yes. Billy Elliott is registered in the Medicare PECOS enrollment system.

What insurance does Billy Elliott accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Billy Elliott 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.

When was this NPI record last updated?

The NPPES record for Billy Elliott was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.