Provider Demographics
NPI:1932193547
Name:ROBBINS, BILLY GERALD (MD)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:GERALD
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HALLS
Mailing Address - State:TN
Mailing Address - Zip Code:38040-1547
Mailing Address - Country:US
Mailing Address - Phone:731-836-5617
Mailing Address - Fax:731-836-5284
Practice Address - Street 1:201 S FRONT ST
Practice Address - Street 2:
Practice Address - City:HALLS
Practice Address - State:TN
Practice Address - Zip Code:38040-1547
Practice Address - Country:US
Practice Address - Phone:731-836-5617
Practice Address - Fax:731-836-5284
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD006690207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0140423OtherUNITED HEALTH CARE
0186567OtherBLUE CROSS
080079013OtherPALMETTO GBA
4030379OtherAETNA
TN3449795Medicaid
7165OtherTLC (MEMPHIS MANAGED CARE
115799OtherBETTER HEALTH PLAN
4395118OtherCIGNA
TN4176770OtherBCBS
0140423OtherUNITED HEALTH CARE
7165OtherTLC (MEMPHIS MANAGED CARE
B02263Medicare UPIN