Karen E. Ballard-Montgomery, MD

Individual provider Active NPI Family Medicine Physician · Woodstock, AL

NPI 1699869321 · NPPES record last updated Jul 28, 2016

Key facts

NPI
1699869321
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD.20185 (AL)
Practice address
28921 Highway 5
Woodstock, AL 35188
Phone
(205) 938-9348
Fax
(205) 938-9020
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Also: Obstetrics/Gynecology
Education
Mercer University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care Foundation (100 clinicians)

Practice addresses (Care Compare)

195 Hospital Dr
Centreville, AL 35042-2935
Phone (205) 926-2992

294 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-2992

Hospital & facility affiliations

  • Bibb Medical Center Hospital · Centreville, AL · CCN 010058
  • Medical West, an Affiliate of Uab Health System Hospital · Bessemer, AL · CCN 010114
  • DCH Regional Medical Center Hospital · Tuscaloosa, AL · CCN 010092

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050419001386 AL Practitioner - Family Practice
Practitioner - Obstetrics/Gynecology
2264482645 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00020185ALMDFamily Medicine Physician
MD.20185ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation Current
since Jan 1, 2015
Accepting new patients
Cahaba Medical Care Foundation Current Accepting new patients
Cahaba Medical Care Foundation Current
since Jan 1, 2015
Accepting new patients
The Bibb County Health Care Authority Current
since Aug 1, 2008
Accepting new patients
The Bibb County Healthcare Authority Current Accepting new patients
Woodstock Healthcare, LLC Family Medicine Past Accepting new patients

Locations

1010 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 679-6326

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

1240 Cotton Ave SW
Birmingham, AL 35211

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

801 Princeton Ave SW
Ste 505
Birmingham, AL 35211
Phone (205) 502-1300

160 4th St
Brent, AL 35034
Phone (205) 928-6045

1984 Main St
Brent, AL 35034
Phone (205) 928-3492

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1925 Avenue E
Ensley, AL 35218
Phone (205) 788-5164

610 Valley Rd
Fairfield, AL 35064
Phone (205) 277-2372

1301 Highland Dr
Fairfield, AL 35064

7000 Grasselli Rd
Fairfield, AL 35064
Phone (205) 791-5048

301 61st St
Fairfield, AL 35064

715 Valley Rd
Fairfield, AL 35064
Phone (205) 791-5048

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

1303 Washington St
Marion, AL 36756
Phone (334) 247-1006

319 Magnolia St
West Blocton, AL 35184
Phone (205) 928-3365

828 Cahaba River Dr
West Blocton, AL 35184

28921 Highway 5
Woodstock, AL 35188
Phone (205) 938-9348

Interoperability endpoints

  • Direct secure messaging: karen.ballard-montgomery.5@13200.direct.athenahealth.com
  • Direct secure messaging: karen.ballard-montgomery.1@13200.direct.athenahealth.com
  • Direct secure messaging: karen.montgomery.1@11347.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00020185 AL
Family Medicine Physician 207Q00000X MD.20185 AL Yes

Addresses

Primary practice location

28921 Highway 5
Woodstock, AL 35188

Mailing address

405 Belcher Street
Centreville, AL 35042
Phone (205) 926-2992

Other identifiers

IdentifierTypeStateIssuer
169257MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2016.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1699869321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER STREET",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "35042",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28921 HIGHWAY 5",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "35188",
            "telephone_number": "205-938-9348",
            "fax_number": "205-938-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD-MONTGOMERY",
        "first_name": "KAREN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00020185",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.20185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169257",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, AL

All providers in Woodstock, AL · Family Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.