NPIMap

Organization Active NPI

Ballard Pain & Wellness, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Pell City, AL
National Provider Identifier
1487040838
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BALLARD PAIN & WELLNESS, INC.
Practice address
7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone
(205) 338-3301
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Dr. Gaylyn M Horne, MDNPI 1750331542
Title
Owner
Phone
(205) 908-3310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

7063 Veterans Pkwy
Pell City, AL 35125-5114

Mailing address

7067 Veterans Pkwy Ste 210
Pell City, AL 35125-5128
Phone (205) 405-7348

National Provider Directory

National Provider Directory
Tax ID family
Ballard Pain Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

7067 Veterans Pkwy
Ste 210
Pell City, AL 35125
Phone (205) 405-7348

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1487040838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 VETERANS PKWY STE 210",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255128",
            "telephone_number": "205-405-7348",
            "fax_number": "205-338-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7063 VETERANS PKWY",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255114",
            "telephone_number": "205-338-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD PAIN & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "GAYLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-908-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.