Individual provider Active NPI

Stephen K Ball, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gainesville, FL
National Provider Identifier
1477556371
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME130216 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-4563
Phone
(352) 273-5501
Fax
(352) 273-5515
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD26291 TN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD026291 TN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME130216 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-4563

Mailing address

9125 Cross Park Dr Ste 200
Knoxville, TN 37923-4563
Phone (865) 632-5900

Other practice location 1

9125 Cross Park Dr Ste 200
Knoxville, TN 37923-4563
Phone (865) 632-5900

Other practice location 2

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone (386) 241-1040

Other identifiers 7

IdentifierTypeStateIssuer
2660623003OtherTNCIGNA PPO
4558109OtherTNAETNA PPO
3020784OtherTNBCBS OF TENNESSEE
2660623004OtherTNCIGNA HMO
Q020271MedicaidTN
3740019OtherTNUNITED HEALTHCARE
3088113MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ball.stephen@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070613000776 TN Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 1951409051 Reassigns benefits to 1 organization
I20170320001277 FL Practitioner - Thoracic Surgery 1951409051 Reassigns benefits to 3 organizations
I20260518000139 MS Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1951409051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Oaks Management Company LLCGroup PAC ID 0345233110, 35 clinicians

Practice addresses (Care Compare)

1033 N Flowood Dr
Flowood, MS 39232-9533
Phone (601) 933-5417

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26291TNMDVascular Surgery Physician
MD026291TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Feb 2, 2023 Accepting new patients
East Tennessee Cardiovascular Surgery Group, P.C Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 15, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 2, 2023 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Jan 10, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 8, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 8, 2017 Accepting new patients
Gwinnett Medical Group, Inc Past Accepting new patients
Cardiovascular Surgery Associates, P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Maury Regional Hospital Past Accepting new patients

Locations

311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

9125 Cross Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 632-5900

9330 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 373-7942

Dept 888101
Knoxville, TN 37995

Organizations & group practices 10

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.

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1477556371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234563",
            "telephone_number": "865-632-5900",
            "fax_number": "865-374-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326104563",
            "telephone_number": "352-273-5501",
            "fax_number": "352-273-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9125 Cross Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234563",
            "country_code": "US",
            "telephone_number": "865-632-5900",
            "fax_number": "865-374-2129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142781",
            "country_code": "US",
            "telephone_number": "386-241-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD26291",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "MD026291",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME130216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "2660623003",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4558109",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "3020784",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "2660623004",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020271",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3740019",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088113",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ball.stephen@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9125 Cross Park Dr Ste 200",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.