Joseph Marshall Ballard, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2403 Issued in NC

Practice address

5811 Ramsey St
Fayetteville, NC 28311-3416

Phone

(910) 884-9922

Fax

(910) 401-1329

NPI assigned

May 22, 2014

Sex

Male

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Northside Family Eye Care Optometry PAGroup PAC ID 3274904446, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.54 of 100Reported as group

Quality

77.08

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.ballard@direct.revolutionehr.com

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

• Northside Family Eye Care Optometry, PA

  • Optometrist
  • Fayetteville, NC
  • NPI 1730804337
  Medicare reassignment Care Compare group NPD
• Sandhills Eye Care, OD, PA

  • Optometrist
  • Fayetteville, NC
  • NPI 1104015874
  NPD

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1114339355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283113416",
            "telephone_number": "910-884-9922",
            "fax_number": "910-401-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283113416",
            "telephone_number": "910-884-9922",
            "fax_number": "910-401-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hope Mills",
            "state": "NC",
            "postal_code": "283481958",
            "country_code": "US",
            "telephone_number": "910-423-0700",
            "fax_number": "910-423-0882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "JOSEPH",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamela B Baldwin, PTA
• Tyana Baldwin
• Ballance & Derose DDS PA
• Ashley Ballard, O.D.
• Elizabeth Ballard
• Keisha Lashonda Ballard
• Sharonda Lakiesha Ballard
• Barbara Ballengee, GRNA
• Ali Hussain Baloch
• Jessica Olunike Balogun

• Optometrist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.