Active NPI
James Warner Ballard, PA-C
- Physician Assistant
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11957
- Practice address
- 2720 S 6TH Ave
Tucson, AZ 85713-4701 - Phone
- (520) 475-5418
- Fax
- (520) 300-8034
- NPI assigned
- Jan 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.008145 | IL | |
| Physician Assistant | 363A00000X | 0010-11253 | NC | |
| Physician Assistant | 363A00000X | 11957 | AZ | Primary |
Addresses
Primary practice location
2720 S 6TH Ave
Tucson, AZ 85713-4701
Mailing address
PO Box 746093
Atlanta, GA 30374-6093
Phone (520) 475-5418
Other practice location 1
105 Vest Mill Cir
Winston Salem, NC 27103-2943
Phone (336) 718-7800
Other practice location 2
2001 S California Ave # 100
Chicago, IL 60608-2486
Phone (773) 584-6200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jballard891641@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702000092 | NC | Practitioner - Physician Assistant | 9133520752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Forsyth Memorial Hospital Inc
Practice addresses (Care Compare)
105 Vest Mill Cir
Winston Salem, NC 27103-2943
Phone (336) 718-7800
6301 Stadium Dr
Clemmons, NC 27012-8766
Phone (336) 766-6473
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.008145 | IL | MD | Physician Assistant |
| 0010-11253 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Current | Accepting new patients | |
| Esperanza Health Centers | Past | Accepting new patients | |
| Oak Street Health Physicians Group of Arizona PLLC | Past | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients | |
| Codac Health Recovery and Wellness | Past | Accepting new patients |
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
105 Vest Mill Cir
Winston Salem, NC 27103
Phone (336) 718-7800
100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- Psychiatry Physician
- Thomasville, NC
- NPI 1003209842
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1033156567
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1063083590
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1659127199
-
- Family Medicine Physician
- Mount Airy, NC
- NPI 1295783108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1225628191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746093",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746093",
"telephone_number": "520-475-5418",
"fax_number": "520-300-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857134701",
"telephone_number": "520-475-5418",
"fax_number": "520-300-8034"
}
],
"practiceLocations": [
{
"address_1": "105 Vest Mill Cir",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271032943",
"country_code": "US",
"telephone_number": "336-718-7800",
"fax_number": "336-718-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 S California Ave # 100",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606082486",
"country_code": "US",
"telephone_number": "773-584-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLARD",
"first_name": "JAMES",
"middle_name": "WARNER",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-24",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.008145",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11253",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "11957",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jballard891641@direct.novanthealth.org",
"affiliation": "N",
"address_1": "105 Vest Mill Cir",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271032943",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.