Individual provider Active NPI

Billy Ray Ballard, M.D.

  • Anatomic Pathology Physician
  • Nashville, TN
National Provider Identifier
1376521518
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
13139 Issued in TN
Practice address
1005 Dr. D. B. Todd Blvd
Nashville, TN 37208
Phone
(615) 327-6212
Fax
(615) 327-6409
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 13139 TN Primary

Addresses

Primary practice location

1005 Dr. D. B. Todd Blvd
Nashville, TN 37208

Mailing address

1005 Dr. D. B. Todd Blvd
Nashville, TN 37208
Phone (615) 327-6212

Other identifiers 1

IdentifierTypeStateIssuer
3851394MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000371 TN Practitioner - Pathology 9739214313 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13139TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College CurrentSince Jul 1, 2003 Accepting new patients

Locations

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1376521518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DR. D. B. TODD BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "telephone_number": "615-327-6212",
            "fax_number": "615-327-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR. D. B. TODD BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "telephone_number": "615-327-6212",
            "fax_number": "615-327-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "BILLY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TN",
            "license": "13139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3851394",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.