Individual provider Active NPI

Nicholas Ballay, MD

  • Surgery Physician
  • Athens, TN
National Provider Identifier
1295093052
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD0000056407 Issued in TN
Practice address
719 Cook Dr
Athens, TN 37303
Phone
(423) 745-2344
Fax
(423) 745-2314
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD0000056407 TN Primary

Addresses

Primary practice location

719 Cook Dr
Athens, TN 37303

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

304 Wright St Fl 3
Sweetwater, TN 37874-1181
Phone (423) 252-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108001320 TN Practitioner - General Surgery 4385881804 Reassigns benefits to 1 organization
Practice locations: Athens, TN; Sweetwater, TN

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

719 Cook Dr
Athens, TN 37303-3495
Phone (423) 745-2344

Hospital & facility affiliations

  • Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068
  • Sweetwater Hospital Association Hospital, Sweetwater, TN, CCN 440084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy43
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux50
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000056407TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Feb 22, 2022 Accepting new patients
Advanced Diagnostic Imaging, PC Single Specialty CurrentSince Feb 22, 2022 Accepting new patients
Sweetwater Hospital Association Past Accepting new patients
Athens Regional Medical Center LLC Past Accepting new patients

Locations

719 Cook Dr
Ste 109
Athens, TN 37303
Phone (423) 745-2344

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

304 Church St
Fl 3
Sweetwater, TN 37874
Phone (423) 252-0288

Interoperability endpoints

  • Direct secure messaging: dr_nicholas_ballay@yourcarecommunity.org
  • Direct secure messaging: nicholas.ballay@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1295093052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "37303",
            "telephone_number": "423-745-2344",
            "fax_number": "423-745-2314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Wright St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TN",
            "postal_code": "378741181",
            "country_code": "US",
            "telephone_number": "423-252-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLAY",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000056407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.