Michael F Ballard, IDC
Individual provider Active NPI Independent Duty Corpsman · Millington, TN
NPI 1356311518 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1356311518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 5722 Integrity Dr
BLDG S771
Millington, TN 38054-5028 - Phone
- (901) 874-6100
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
5722 Integrity Dr
BLDG S771
Millington, TN 38054-5028
Mailing address
7698 Kiowa St
Millington, TN 38053-3248
Phone (901) 872-7848
Other names
- Michael F Ballard
Other providers in Millington, TN
- Associates of Family Practice, PLLC
- Mariam Ayyeh
- Abdullah Baig
- Candace Michelle Bailey
- Philip Joseph Baker
- Kimberly Anita Banks
- Bonnie Lou Barakat-Smith
- Valerie L Barfield
- Whitney Beall
- Jacob Allen Beaty
All providers in Millington, TN · Independent Duty Corpsman in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.