Charles A Ball, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10356 Issued in TN

Practice address

854 W James Campbell Blvd
Suite 403
Columbia, TN 38401-4659

Phone

(931) 380-0075

Fax

(931) 388-7502

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• NHC Healthcare-Columbia LLC

  • Skilled Nursing Facility
  • Columbia, TN
  • NPI 1174577001

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Integrated Health Transitions, PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1922463470
  Medicare reassignment NPD
• Renuven Aco PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1568209872
  Medicare reassignment NPD
• Maury Regional Ambulatory Care Center Inc.

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1336190214
  NPD (past)
• NHC Healthcare-Columbia LLC

  • Skilled Nursing Facility
  • Columbia, TN
  • NPI 1174577001
  NPD (past)
• NHC-Maury Regional Transitional Care Center LLC

  • Skilled Nursing Facility
  • Columbia, TN
  • NPI 1245786482
  NPD (past)
• Renuven Health Partners of Georgia PC

  • Internal Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1871196519
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1154344836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-540-4255",
            "fax_number": "931-388-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 403",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-380-0075",
            "fax_number": "931-388-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "10356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4119142",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4131683",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3172059",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea N Bain, PT
• Carley Anna Baker, COTA/L
• Lori Baker
• Indu Bali, MD
• Erin Patricia Ann Baliad, CNP
• W Anthony Ball Jr., DDS
• Teresa Nicole Ballentine
• Casandra Ban, FNP
• Carolyn Sue Banning, CPS
• Brittany Nicole Barber, M.S.

• Family Medicine Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.