Tawanna R Ballard

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8403 Issued in TN

Practice address

39 Murray Guard Dr
Jackson, TN 38305-3610

Phone

(731) 736-4400

NPI assigned

Feb 17, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TRB Consulting & Solutions LLC

  • In Home Supportive Care Agency
  • Milan, TN
  • NPI 1689210007
  NPD Authorized official
• Positive Living Group

  • Community/Behavioral Health Agency
  • Jackson, TN
  • NPI 1336614130
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1003611757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HUGHES LOOP",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585503",
            "telephone_number": "731-445-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053610",
            "telephone_number": "731-736-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "TAWANNA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "8403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Baker, LMSW
• Joel Atangan Balajadia, P.T.
• Mark Baldwin, LPC-MHSP
• Michelle D. Baldwin, DNP, APRN, FNP-C
• John J Ball, MD
• Thomas Kelly Ballard III, MD
• Sheryl F Banaag, CM
• Jaclyn Bane
• Monico Peter Banez, MD
• Marshall Denny Banks, M.D.

• Social Worker in Jackson, TN
• Providers in Jackson, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.