Individual provider Active NPI

Paul Allen Ballard, PA-C, ATC

  • Physician Assistant
  • Bossier City, LA
National Provider Identifier
1114445798
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
307181 Issued in LA
Practice address
5025 Shed Rd
Bossier City, LA 71111-5434
Phone
(318) 798-4623
Fax
(318) 795-4742
NPI assigned
Sep 5, 2017
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 307181 LA Primary
Surgical Physician Assistant 363AS0400X LA

Addresses

Primary practice location

5025 Shed Rd
Bossier City, LA 71111-5434

Mailing address

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6000
Phone (318) 798-4500

Other practice location 1

1549 E 70th St Ste 300
Shreveport, LA 71105-5056
Phone (318) 300-3898

Other practice location 2

1455 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-6000
Phone (318) 798-4623

Other identifiers 2

IdentifierTypeStateIssuer
14219851OtherCAQH
2457578MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000478 LA Practitioner - Physician Assistant 5496020844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Clinic, a Prof Med CorpGroup PAC ID 3870493463, 60 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4539

1455 E Bert Kouns
Shreveport, LA 71105-5634

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634

1549 E 70TH St
Suite 300
Shreveport, LA 71105-5056
Phone (318) 300-3898

5025 Shed Rd
Bossier City, LA 71111-5434
Phone (318) 795-4741

8731 Park Plaza Dr
Shreveport, LA 71105-5682
Phone (318) 797-5848

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
58.23
Promoting interoperability
97
Improvement activities
40
Cost
72.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
307181LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Clinic, a Prof Med Corp CurrentSince Dec 1, 2020 Accepting new patients
Arklatex Medical Consultants a Medical Corporation CurrentSince Aug 15, 2022 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Dec 1, 2020 Accepting new patients
WK Arklatex Urology and Prostate Cancer Institute CurrentSince Nov 1, 2019 Accepting new patients

Locations

2449 Hospital Dr
Ste 340
Bossier City, LA 71111
Phone (318) 212-7160

5025 Shed Rd
Bossier City, LA 71111
Phone (318) 795-4741

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1455 E Bert Kouns Industrial Loop
Ste 210
Shreveport, LA 71105
Phone (318) 798-4623

1549 E 70th St
Ste 300
Shreveport, LA 71105
Phone (318) 300-3898

8731 Park Plaza Dr
Shreveport, LA 71105
Phone (318) 524-7144

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHDDD
  • Direct secure messaging: paul.ballard.p1@direct.hcapmc.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1114445798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4500",
            "fax_number": "318-798-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115434",
            "telephone_number": "318-798-4623",
            "fax_number": "318-795-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 E 70th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055056",
            "country_code": "US",
            "telephone_number": "318-300-3898",
            "fax_number": "318-797-4241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 E Bert Kouns Industrial Loop Ste 210",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711056000",
            "country_code": "US",
            "telephone_number": "318-798-4623",
            "fax_number": "318-798-4518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "307181",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14219851",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2457578",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.