Individual provider Active NPI

Karen E. Ballard-Montgomery, MD

  • Family Medicine Physician
  • Woodstock, AL
National Provider Identifier
1699869321
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.20185 Issued in AL
Practice address
28921 Highway 5
Woodstock, AL 35188
Phone
(205) 938-9348
Fax
(205) 938-9020
NPI assigned
Oct 3, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 2

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

Addresses

Primary practice location

28921 Highway 5
Woodstock, AL 35188

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: 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 FoundationGroup PAC ID 1355597923, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00020185ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Jan 1, 2015 Accepting new patients
Cahaba Medical Care Foundation Current Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jan 1, 2015 Accepting new patients
The Bibb County Health Care Authority CurrentSince 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

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

1240 Cotton Ave SW
Birmingham, AL 35211

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

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

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) 783-5164

1301 Highland Dr
Fairfield, AL 35064

301 61st St
Fairfield, AL 35064

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

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

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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, AL

Sources for this page

Verify at the official NPI Registry.