NPIMap

Individual provider Active NPI

Jessica Lynn Ball, PA

  • Physician Assistant
  • Concord, NC
National Provider Identifier
1770011108
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13301 Issued in NC
Practice address
315 Medical Park Dr
Ste 202
Concord, NC 28025-1902
Phone
(704) 403-1911
NPI assigned
May 30, 2017
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13301 NC Primary

Addresses

Primary practice location

315 Medical Park Dr
Ste 202
Concord, NC 28025-1902

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

10660 Park Rd
Ste 4500
Charlotte, NC 28210-8413
Phone (704) 667-8800

Other practice location 2

1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone (704) 446-1900

Other practice location 3

101 E W T Harris Blvd
Ste 5202
Charlotte, NC 28262-3485
Phone (704) 863-8700

Other practice location 4

600 Hospital Dr
Ste A
Monroe, NC 28112-6000
Phone (980) 993-3100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jball1232801@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929002192 NC Practitioner - Physician Assistant 9638442759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000

10660 Park Rd
Suite 4500
Charlotte, NC 28210-8553
Phone (704) 667-8800

1085 NE Gateway CT NE
Suite 290
Concord, NC 28025-2412
Phone (704) 403-4650

1090 NE Gateway CT NE
Concord, NC 28025-2927
Phone (704) 403-1311

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

200 Medical Park Dr
Concord, NC 28025-0933

315 Medical Park Dr
Suite 202
Concord, NC 28025-2973
Phone (704) 403-1911

920 Church N St
Concord, NC 28025-2927
Phone (704) 403-3000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2747SCMDDental Hygienist
0010-13301NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 23, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 23, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Aug 23, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 23, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 23, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Aug 23, 2023 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 5202
Charlotte, NC 28262
Phone (704) 372-5180

1010 Edgehill Rd N
Charlotte, NC 28207
Phone (704) 446-1900

10660 Park Rd
Ste 4500
Charlotte, NC 28210
Phone (704) 667-8800

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

600 Hospital Dr
Ste A
Monroe, NC 28112
Phone (980) 993-3100

Interoperability endpoints

  • Direct secure messaging: jball1232801@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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 10

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1770011108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MEDICAL PARK DR",
            "address_2": "STE 202",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251902",
            "telephone_number": "704-403-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10660 Park Rd",
            "address_2": "Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108413",
            "country_code": "US",
            "telephone_number": "704-667-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Edgehill Rd N",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071885",
            "country_code": "US",
            "telephone_number": "704-446-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E W T Harris Blvd",
            "address_2": "Ste 5202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623485",
            "country_code": "US",
            "telephone_number": "704-863-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Hospital Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281126000",
            "country_code": "US",
            "telephone_number": "980-993-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-07-15",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jball1232801@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "315 Medical Park Dr",
            "address_2": "Ste 202",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280251902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.