Carolyn O. Ballantine, MD. PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200201134 Issued in NC

Legal business name

CAROLYN O. BALLANTINE, MD. PLLC

Practice address

1709 Legion Rd
Suite 224
Chapel Hill, NC 27517-2375

Phone

(919) 593-5548

Fax

(919) 929-8900

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Oates Ballantine, MD

Title

Sole Member/Organizer

Phone

(919) 593-5548

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1649427436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD",
            "address_2": "SUITE 224",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172375",
            "telephone_number": "919-593-5548",
            "fax_number": "919-929-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD",
            "address_2": "SUITE 224",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172375",
            "telephone_number": "919-593-5548",
            "fax_number": "919-929-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN O. BALLANTINE, MD. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLANTINE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "OATES",
        "authorized_official_title_or_position": "SOLE MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "919-593-5548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200201134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Clinton Carpenter, PH.D.
• Julie Saleeby Carpenter, M.D.
• Cara Elizabeth Carr, MD
• Osward Yadiel Carrasquillo Gonzalez, MD, MPH
• Victoria Ashlie Carrice, LCMHC

• Psychiatry Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.