Individual provider Active NPI

Wiley Perry Ballard III, M.D.

  • Hematology & Oncology Physician
  • Atlanta, GA
National Provider Identifier
1700834926
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
30265 Issued in GA
Practice address
1800 Howell Mill Rd NW
Suite 775 and 800
Atlanta, GA 30318
Phone
(404) 350-9853
NPI assigned
May 4, 2006
Last updated
Nov 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 30265 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW
Suite 775 and 800
Atlanta, GA 30318

Mailing address

1800 Howell Mill Rd NW
Suite 800
Atlanta, GA 30318-2538
Phone (404) 350-9853

Other practice location 1

1240 Eagles Landing Pkwy Ste 260
Stockbridge, GA 30281-5173
Phone (678) 854-9500

Other practice location 2

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone (678) 829-1060

Other practice location 3

775 Poplar Rd Ste 310
Newnan, GA 30265-8303
Phone (770) 251-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30265GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cancer Institute PC Hematology & Oncology CurrentSince Apr 1, 2011 Accepting new patients
Piedmont Cancer Institute PC Hematology & Oncology PastSince Nov 1, 1988 Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 775
Atlanta, GA 30318
Phone (404) 350-9853

1800 Howell Mill Rd NW
Ste 800
Atlanta, GA 30318
Phone (404) 350-9853

1267 Highway 54 W
Ste 4200
Fayetteville, GA 30214
Phone (678) 829-1060

775 Poplar Rd
Ste 310
Newnan, GA 30265
Phone (770) 251-2590

1240 Eagles Landing Pkwy
Ste 260
Stockbridge, GA 30281
Phone (678) 854-9500

Interoperability endpoints

  • Direct secure messaging: wballard@piedmontcancerinstitute.direct.varian.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1700834926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW",
            "address_2": "SUITE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "404-350-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW",
            "address_2": "SUITE 775 AND 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "404-350-9853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Eagles Landing Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815173",
            "country_code": "US",
            "telephone_number": "678-854-9500",
            "fax_number": "678-854-9502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1267 Highway 54 W Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142112",
            "country_code": "US",
            "telephone_number": "678-829-1060",
            "fax_number": "678-829-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Poplar Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658303",
            "country_code": "US",
            "telephone_number": "770-251-2590",
            "fax_number": "770-251-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "WILEY",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "30265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.