Individual provider Active NPI

Deanna Danell Ballard, C.F.N.P.

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1215013073
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R691941 Issued in MS
Practice address
308 Highland Blvd
Natchez, MS 39120-4611
Phone
(601) 442-7676
Fax
(601) 442-9590
NPI assigned
Oct 27, 2006
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R691941 MS Primary
Family Nurse Practitioner 363LF0000X RN066376 APO4870 LA

Addresses

Primary practice location

308 Highland Blvd
Natchez, MS 39120-4611

Mailing address

115 Tanglewood Rd
Natchez, MS 39120-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170712000804 MS Practitioner - Nurse Practitioner 6305115064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2110 Hwy 84 E
Meadville, MS 39653-8006

40 Union Church Rd
Meadvile, MS 39653-8336
Phone (601) 384-2273

P O Box
Suite 428
Meadville, MS 39653-0428

PO Box
Suite 636
Meadville, MS 39653

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN066376 APO4870LAMDFamily Nurse Practitioner
R691941MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

136 Main St N
Bude, MS 39630
Phone (601) 384-2394

40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273

595 Main St E
Meadville, MS 39653
Phone (601) 249-1350

Interoperability endpoints

  • Direct secure messaging: deanna.ballard@drtimmpac.directbygreenway.com

Organizations & group practices 3

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 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1215013073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TANGLEWOOD RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-7676",
            "fax_number": "601-442-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "DEANNA",
        "middle_name": "DANELL",
        "name_prefix": "Mrs.",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R691941",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN066376 APO4870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.