Individual provider Active NPI

Haley Amy-Renee Ballard

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1265013759
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11551 Issued in NC
Practice address
4 Vanderbilt Park Dr Ste 200
Asheville, NC 28803-2476
Phone
(828) 258-9533
NPI assigned
Apr 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11551 NC Primary

Addresses

Primary practice location

4 Vanderbilt Park Dr Ste 200
Asheville, NC 28803-2476

Mailing address

278 N Fork Rd
Barnardsville, NC 28709-8707
Phone (828) 450-0895

Other practice location 1

4350 US 421 S
Lillington, NC 27546-6760
Phone (910) 839-1210

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
I20211019000319 NC Practitioner - Physician Assistant 1951799246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Campbell Univ School of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asheville Arthritis and Osteoporosis Center PAGroup PAC ID 0345299392, 11 clinicians

Practice addresses (Care Compare)

4 Vanderbilt Park Dr
Asheville, NC 28803-2476
Phone (828) 258-9533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-11551NCMDPhysician Assistant

Organizations & group practices 1

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 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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1265013759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N FORK RD",
            "city": "BARNARDSVILLE",
            "state": "NC",
            "postal_code": "287098707",
            "telephone_number": "828-450-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DR STE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032476",
            "telephone_number": "828-258-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 US 421 S",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275466760",
            "country_code": "US",
            "telephone_number": "910-839-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "HALEY",
        "middle_name": "AMY-RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.