Active NPI
Karen R Ballou, MD
- Psychiatry Physician
- Roanoke Rapids, NC
National Provider Identifier
1639183643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 32621
- Practice address
- 220 Smith Church Rd BLDG C
Roanoke Rapids, NC 27870-4914 - Phone
- (252) 537-6619
- Fax
- (252) 537-6786
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 32621 | NC | Primary |
Addresses
Primary practice location
220 Smith Church Rd BLDG C
Roanoke Rapids, NC 27870-4914
Mailing address
PO Box 1630
Pinehurst, NC 28370-1630
Phone (910) 295-6007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8912943 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32621 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph LLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1003961269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639183643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1630",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283701630",
"telephone_number": "910-295-6007",
"fax_number": "910-215-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SMITH CHURCH RD BLDG C",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704914",
"telephone_number": "252-537-6619",
"fax_number": "252-537-6786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLOU",
"first_name": "KAREN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "32621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912943",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.