Nathan A Ball, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN176462 Issued in GA

Practice address

1716 Ellis St
Brunswick, GA 31520-6417

Phone

(912) 262-3236

Fax

(912) 262-0813

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1659649606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCRANTON CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250540",
            "telephone_number": "912-262-2347",
            "fax_number": "912-262-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 ELLIS ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206417",
            "telephone_number": "912-262-3236",
            "fax_number": "912-262-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "NATHAN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN176462",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2011008422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Brandon Bailey Jr., PHARM D
• Marcyline Lucious Bailey, LCSW
• Maxine Samone Bailey
• Timothy Anthony Baker Sr.
• Raytillia R. Balam, MASTER BARBER & COSM
• Jessica Lynn Bankston, PHARMD
• Baptist Specialty Physicians Inc
• Alice W Barber, PHYSICAL THERAPIST
• Deborah Lindahl Barnes, NP
• Mary Barnes, LPC

• Nurse Practitioner in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.