Individual provider Active NPI

James Warner Ballard, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1225628191
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11957 Issued in AZ
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 9537071790, 622 clinicians

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 Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.008145ILMDPhysician Assistant
0010-11253NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 12, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc CurrentSince Jun 12, 2021 Accepting new patients
Esperanza Health Centers PastSince Jan 1, 2021 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC PastSince Jul 17, 2021 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.