Nancy Clarke Ballantyne, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Greensboro, NC
NPI 1366857930 · NPPES record last updated Oct 3, 2025
Key facts
- NPI
- 1366857930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2018-02191 (NC)
- Practice address
- 1331 N Elm St Ste 200
Greensboro, NC 27401-6304 - Phone
- (336) 274-6682
- Fax
- (336) 274-8097
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greensboro Radiology PA
Diagnostic Radiology and Imaging LLC
Practice addresses (Care Compare)
1331 N Elm St
Suite 200
Greensboro, NC 27401-6304
Phone (336) 274-6682
315 W Wendover Ave
Greensboro, NC 27408-8401
Phone (336) 433-5000
Hospital & facility affiliations
- Alamance Regional Medical Center
- Moses H. Cone Memorial Hospital, the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200125000383 | NC | Practitioner - Diagnostic Radiology | 5991924516 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02191 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current |
Accepting new patients | |
| Pinnacle Health Services of North Carolina, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current |
Accepting new patients |
| Diagnostic Radiology & Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current |
Accepting new patients | |
| Wake Forest Health Network LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Imrad of Virginia PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current |
Accepting new patients | |
| Pinnacle Health Services of North Carolina LLC | Diagnostic Radiology | Current |
Accepting new patients |
Locations
375 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-4215
315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530
1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397
150 Fairview Rd
Ste 200
Mooresville, NC 28117
Phone (704) 235-6200
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
Interoperability endpoints
- nballantyne2791769@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2018-02191 | NC | Yes |
| General Practice Physician | 208D00000X | LL36828 | SC |
Addresses
Primary practice location
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Mailing address
PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682
Other providers in Greensboro, NC
- Michael Alan Ball
- Nancy Conrad Ball
- Russell A. Ball
- Ballance & Derose DDS PA
- Jill Marlow Ballance
- Denise Ballard
- Patrick L. Ballen
- Kathryn Ballenger
- Kelly Johnson Ballie
- Mahnoor Baloch
All providers in Greensboro, NC · Diagnostic Radiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.