Active NPI
Nicholas Ballay, MD
- Surgery Physician
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD0000056407
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
Practice addresses (Care Compare)
719 Cook Dr
Athens, TN 37303-3495
Phone (423) 745-2344
Hospital & facility affiliations
- Starr Regional Medical Center Athens
- Sweetwater Hospital Association
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 43 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 50 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000056407 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging PC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Single Specialty | Current | 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
- dr_nicholas_ballay@yourcarecommunity.org
- 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.
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
Single Specialty, TN
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
-
- General Acute Care Hospital
- Sweetwater, TN
- NPI 1366441370
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.