MR. BILLY MACK KNOWLES (P.A.) – Physician Assistant, NPI 1649208596

MR. BILLY MACK KNOWLES (P.A.) is a healthcare provider. based in Brandon, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA3114 (FL). The NPI Number for MR. BILLY MACK KNOWLES (P.A.) is 1649208596

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. BILLY MACK KNOWLES (P.A.)
NPI
1649208596
Phone
(813) 654-2445
Address
500 VONDERBURG DR
Enumeration Date
29 June 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136542445
Graduation Year
1981 (45 years ago)
PAC ID
6002713526
Group Practice PAC ID
1759288269
Professional Enrollment ID
I20031215000106
Address ID
FL335115978BR500XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. BILLY MACK KNOWLES (P.A.)

  • 500, Vonderburg Drive, Brandon, Hillsborough County, Florida, 33511, United States

    SUITE 311 WEST

    BRANDON, FL 335115964

    Phone: (813) 654-2445

    Fax: (813) 654-9885

    Type: Location

  • PO BOX 242

    BRANDON, FL 335090242

    Phone: (813) 654-2445

    Fax: (813) 654-9885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 146 Open Payments records for all available years, with a total value of $2,882.

Total Amount is formed as General ($2,882) + Research ($0) + Ownership ($0) = $2,882.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($493).

Total Amount

$2,882

General + Research + Ownership

Payments

146

Total payment records

General Amount

$2,882

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2003-12-15

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
I20031215000106IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes160110$0
99213Established patient office or other outpatient visit, 20-29 minutes5851$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4444$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1111$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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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: 1759288269View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineFL
Physician AssistantFL
-FL
Geriatric Medicine, Internal MedicineFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do payers reference MR. BILLY MACK KNOWLES (P.A.)?
For MR. BILLY MACK KNOWLES (P.A.), use NPI 1649208596 as the unique 10-digit identifier.
Active or inactive — what applies to MR. BILLY MACK KNOWLES (P.A.)?
You should see MR. BILLY MACK KNOWLES (P.A.) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. BILLY MACK KNOWLES (P.A.)?
MR. BILLY MACK KNOWLES (P.A.)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is MR. BILLY MACK KNOWLES (P.A.) registered?
Use Brandon, Florida as the headline location for MR. BILLY MACK KNOWLES (P.A.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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