Active NPI
Danielle Ballard, DO
- Emergency Medicine Physician
- Henderson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2021-01342
- Practice address
- 566 Ruin Creek Rd
Henderson, NC 27536-2927 - Phone
- (252) 436-1148
- NPI assigned
- Mar 21, 2018
- Last updated
- Sep 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 63989 | NY | |
| Emergency Medicine Physician | 207P00000X | 2021-01342 | NC | Primary |
Addresses
Primary practice location
566 Ruin Creek Rd
Henderson, NC 27536-2927
Mailing address
566 Ruin Creek Rd
Henderson, NC 27536-5932
Phone (252) 436-1148
Other practice location 1
47 New Scotland Ave Dept Of
Albany, NY 12208-3412
Phone (518) 262-4050
Other names 1
- Danielle McKie
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.06 of 100
- Quality
- 83.09
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90.96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63989 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem Capital Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Tarheel Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Bull City Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3100
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
dba Durham Regional Hospital
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
- Emergency Medicine Physician
- Henderson, NC
- NPI 1770004285
-
- Emergency Medicine Physician
- Louisburg, NC
- NPI 1225524598
-
- Emergency Medicine Physician
- Jacksonville, NC
- NPI 1386388874
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
dba Duke Raleigh Hospital
- Internal Medicine Physician
- Raleigh, NC
- NPI 1477584894
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Durham Regional Hospital
- Clinical Medical Laboratory
- Durham, NC
- NPI 1689656480
Hospital
-
dba Durham Regional Hospital
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631923200000",
"number": "1275037541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365932",
"telephone_number": "252-436-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362927",
"telephone_number": "252-436-1148"
}
],
"practiceLocations": [
{
"address_1": "47 New Scotland Ave Dept Of",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083412",
"country_code": "US",
"telephone_number": "518-262-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLARD",
"first_name": "DANIELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2021-09-18",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "63989",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2021-01342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "MCKIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.