Active NPI
Carolyn Oates Ballantine, M.D.
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1740235720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200201134
- Practice address
- 508 Fulton St
Durham Vamc, Mail Code 116-a
Durham, NC 27705-3875 - Phone
- (919) 212-3011
- Fax
- (919) 255-1540
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200201134 | NC | Primary |
Addresses
Primary practice location
508 Fulton St
Durham Vamc, Mail Code 116-a
Durham, NC 27705-3875
Mailing address
8804 Wellsley Way
Raleigh, NC 27613-1358
Phone (919) 593-5548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396X | Other | NC | BCBS NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200201134 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1740235720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8804 WELLSLEY WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131358",
"telephone_number": "919-593-5548",
"fax_number": "919-929-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON ST",
"address_2": "DURHAM VAMC, MAIL CODE 116-A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053875",
"telephone_number": "919-212-3011",
"fax_number": "919-255-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLANTINE",
"first_name": "CAROLYN",
"middle_name": "OATES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200201134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "1396X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
- Melody Anita Russell Baldwin, M.D, M.P.H.
- Baldwin, Pressley & Associates, D.D.S., P.L.L.C. (Premier Smiles of Durham & Sleep Center)
- Rachel A Baldwin
- Natalie Ruth Ball, PA-C
- Vanessa Isabel Ballabeni, LCSWA
- Deborah Ballard, ANP
- Amelia Rose Ballesteros-Edwards
- Bruce Wayne Balls Jr.
- Christian L Balmadrid, MD
- Amna Baloch, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.