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
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Mercer University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cahaba Medical Care Foundation
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
- Medical West, an Affiliate of Uab Health System
- DCH Regional Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050419001386 | AL | Practitioner - Family Practice |
2264482645 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020185 | AL | MD | Family Medicine Physician |
| MD.20185 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cahaba Medical Care Foundation | Current |
Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current |
Accepting new patients | |
| The Bibb County Health Care Authority | Current |
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
- karen.ballard-montgomery.5@13200.direct.athenahealth.com
- karen.ballard-montgomery.1@13200.direct.athenahealth.com
- karen.montgomery.1@11347.direct.athenahealth.com
- https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169257 | Medicaid | AL |
NPI Registry JSON
{
"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
- Jared Acker
- Alice Springer Bristow
- Jennifer Cain
- Greg Wayne Egbert
- Fortress Inc.
- Green Pond Volunteer Fire Dept
All providers in Woodstock, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.