BILLY JOE JR. GOLDEN (NP) – Nurse Practitioner, NPI 1700182755

BILLY JOE JR. GOLDEN (NP) is a healthcare provider. based in Flomaton, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-091623 (AL). The NPI Number for BILLY JOE JR. GOLDEN (NP) is 1700182755

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BILLY JOE JR. GOLDEN (NP)
NPI
1700182755
Phone
(251) 296-2456
Address
174 HIGHWAY 113
Enumeration Date
8 February 2011
Last Update Date
9 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2512962456
Graduation Year
2011 (15 years ago)
PAC ID
7416134689
Group Practice PAC ID
3072558378
Professional Enrollment ID
I20110615000881
Address ID
AL364414556FL174XX113X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for BILLY JOE JR. GOLDEN (NP)

  • 174 HIGHWAY 113

    FLOMATON, AL 364414556

    Phone: (251) 296-2456

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110615000881INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36441)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072558378View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Nurse PractitionerAL
Family PracticeKY
Family Practice, Emergency MedicineAL
Internal Medicine, Family PracticeAL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
O B S T E T R I C S/ G Y N E C O L O G YFL
-AL
Family PracticeAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for BILLY JOE JR. GOLDEN (NP)?
BILLY JOE JR. GOLDEN (NP) — NPI 1700182755 — is the standard way to identify this listing.
Can I rely on BILLY JOE JR. GOLDEN (NP) being an active provider?
As of the registry snapshot, BILLY JOE JR. GOLDEN (NP) is marked active.
What is BILLY JOE JR. GOLDEN (NP)'s specialty?
The listing groups BILLY JOE JR. GOLDEN (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect BILLY JOE JR. GOLDEN (NP) on a map?
Expect Flomaton, Alabama as a primary anchor for BILLY JOE JR. GOLDEN (NP) unless the record lists multiple sites.
Why does BILLY JOE JR. GOLDEN (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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