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MR. BILLY EDWARD ROBERTS PA
NPI 1962674176
Physician Assistant - Medical in Douglas, GA

Active since March 27, 2008PECOS EnrolledAccepts Medicare Assignment
1101 OCILLA RD STE A, DOUGLAS, GA 31533(912) 384-0600(912) 384-0601 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2019, Apr 10, 2018 (2 updates tracked since 2018).

About Mr. Billy Edward Roberts Pa NPPES

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

MR. BILLY EDWARD ROBERTS PA (NPI 1962674176) is an individual medical provider in Douglas, Georgia, licensed in Georgia (000904) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Bacon County Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962674176
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BILLY EDWARD ROBERTSCredential: PA
Location Address1101 OCILLA RD STE ADouglas, GA 31533-2207
Mailing Address1101 Ocilla Road, Ste ADouglas, GA 31534-2207 · (912) 384-1900 · Fax (912) 383-5667
Phone(912) 384-0600
Fax(912) 384-0601
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1982
Enumeration DateMarch 27, 2008
Last NPPES UpdateApril 27, 20192 updates tracked since enumeration
✔ NPI 1962674176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 000904
1101 OCILLA RD STE A, Douglas, GA 31533
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11305 Ocilla RdDouglas, GA 31533-2209 · Phone (912) 384-0600 · Fax (912) 384-0601
Location 2205 S Wayne StAlma, GA 31510-2919 · Phone (912) 384-0600 · Fax (912) 384-0601
Location 31724A Old Reynolds StWaycross, GA 31501-1036 · Phone (912) 384-1477

Other Identifiers 1

Other000904GA · Medical License

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

Mr. Billy Edward Roberts Pa 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 ID1759450489
PECOS Enrollment IDI20080520000812
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.

Hospital Affiliations CMS Care Compare

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

Bacon County Hospital

Critical Access Hospitals · Alma, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number111327
Location302 South Wayne StreetAlma, GA 31510 · Bacon County
Emergency services

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 Roberts's NPI number?

The NPI number for Billy Roberts is 1962674176. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Billy Roberts located?

Billy Roberts practices at 1101 Ocilla Rd Ste A, Douglas, GA 31533. The listed phone number is (912) 384-0600.

What is Billy Roberts's specialty?

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

Is Billy Roberts enrolled in Medicare?

Yes. Billy Roberts 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.

Is Billy Roberts affiliated with any hospitals?

According to CMS data, Billy Roberts is affiliated with Bacon County Hospital.

When was this NPI record last updated?

The NPPES record for Billy Roberts was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.