MR. BILLY EDWARD ROBERTS (PA) – Medical Physician Assistant, NPI 1962674176

MR. BILLY EDWARD ROBERTS (PA) is a healthcare provider. based in Douglas, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000904 (GA). The NPI Number for MR. BILLY EDWARD ROBERTS (PA) is 1962674176

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. BILLY EDWARD ROBERTS (PA)
NPI
1962674176
Phone
(912) 384-0600
Address
1305 Ocilla Rd
Enumeration Date
27 March 2008
Last Update Date
27 April 2019

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2292561020
Graduation Year
1982 (44 years ago)
PAC ID
1759450489
Group Practice PAC ID
5193727964
Professional Enrollment ID
I20080520000812
Address ID
GA316051096VA3374XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MR. BILLY EDWARD ROBERTS (PA)

  • 1305 Ocilla Rd

    Douglas, GA 315332209

    Phone: (912) 384-0600

    Fax: (912) 384-0601

    Type: Location

  • 205 S Wayne St

    Alma, GA 315102919

    Phone: (912) 384-0600

    Fax: (912) 384-0601

    Type: Location

  • 1724A Old Reynolds St

    Waycross, GA 315011036

    Phone: (912) 384-1477

    Type: Location

  • Coffee Regional Medical Center, 1101, Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States

    STE A

    DOUGLAS, GA 315342207

    Phone: (912) 384-1900

    Fax: (912) 383-5667

    Type: Mailing

  • 1101 OCILLA RD STE A

    DOUGLAS, GA 315332207

    Phone: (912) 384-0600

    Fax: (912) 384-0601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($80).

Total Amount

$328

General + Research + Ownership

Payments

15

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

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: 2008-05-20

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
I20080520000812IPhysician AssistantGATBD

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 minutes3333$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2828$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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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: 5193727964View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
U R O L O G YGA
General SurgeryGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerME
Cardiovascular Disease (Cardiology)GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyME

Reviews

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Frequently asked questions

Does MR. BILLY EDWARD ROBERTS (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. BILLY EDWARD ROBERTS (PA) uses 1962674176.
Can I rely on MR. BILLY EDWARD ROBERTS (PA) being an active provider?
As of the registry snapshot, MR. BILLY EDWARD ROBERTS (PA) is marked active.
What healthcare role does MR. BILLY EDWARD ROBERTS (PA) hold?
Scheduling teams often label MR. BILLY EDWARD ROBERTS (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. BILLY EDWARD ROBERTS (PA) list a practice location?
Patients near Douglas, Georgia may find MR. BILLY EDWARD ROBERTS (PA) in results; validate coverage separately.
Is the information about MR. BILLY EDWARD ROBERTS (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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