Individual provider Active NPI

Bret Ballard, NP

  • Family Nurse Practitioner
  • Amory, MS
National Provider Identifier
1376564799
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R815978 Issued in MS
Practice address
906 Highway 278 E
Amory, MS 38821-5511
Phone
(662) 256-5612
Fax
(662) 256-5264
NPI assigned
Jul 21, 2006
Last updated
May 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R815978 MS Primary

Addresses

Primary practice location

906 Highway 278 E
Amory, MS 38821-5511

Mailing address

906 Highway 278 E
Amory, MS 38821-5511
Phone (662) 256-5612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000634 MS Practitioner - Nurse Practitioner 2860465747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amory Urgent Care, LLCGroup PAC ID 6305071143, 3 clinicians

Practice addresses (Care Compare)

906 Hwy 278 E
Amory, MS 38821-5511
Phone (662) 256-5612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.47 of 100Reported as group
Quality
70.54
Promoting interoperability
100
Improvement activities
40
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R815978MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amory Urgent Care, LLC CurrentSince Aug 19, 2013 Accepting new patients
Caretime Medical Clinic, LLC PastSince Feb 19, 2016 Accepting new patients
North Ms Emergency Physicians Past Accepting new patients

Locations

906 Highway 278 E
Amory, MS 38821
Phone (662) 200-8464

Interoperability endpoints

  • Direct secure messaging: bret.ballard.1@7547.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13353/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/7547/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1376564799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 HIGHWAY 278 E",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215511",
            "telephone_number": "662-256-5612",
            "fax_number": "662-256-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 HIGHWAY 278 E",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215511",
            "telephone_number": "662-256-5612",
            "fax_number": "662-256-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "BRET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R815978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.