Active NPI
W Mark Ball, DC
- Chiropractor
- Moultrie, GA
National Provider Identifier
1386741932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1580
- Practice address
- 2939 S Main St
Moultrie, GA 31768-6903 - Phone
- (229) 985-5000
- Fax
- (229) 985-1107
- NPI assigned
- Sep 17, 2006
- Last updated
- Sep 21, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1580 | GA | Primary |
Addresses
Primary practice location
2939 S Main St
Moultrie, GA 31768-6903
Mailing address
PO Box 2215
2939 South Main St
Moultrie, GA 31776-2215
Phone (229) 985-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2939 S Main St
Moultrie, GA 31768-6903
Phone (229) 985-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1580 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colquitt Chiropractic, LP | Chiropractor | Current | Accepting new patients |
Locations
2939 S Main St
Moultrie, GA 31768
Phone (229) 985-5000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Moultrie, GA
- NPI 1760732523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1386741932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2215",
"address_2": "2939 SOUTH MAIN ST",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317762215",
"telephone_number": "229-985-5000",
"fax_number": "229-985-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 S MAIN ST",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686903",
"telephone_number": "229-985-5000",
"fax_number": "229-985-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "W",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.