Active NPI
Cynthia Ann Ballenger, MD
- Radiation Oncology Physician
- Smithfield, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 96-01555
- Practice address
- 514 N Brightleaf Blvd Ste 1200
Smithfield, NC 27577-4486 - Phone
- (919) 209-3555
- NPI assigned
- Sep 21, 2006
- Last updated
- Mar 23, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 0101 230080 | VA | |
| Radiation Oncology Physician | 2085R0001X | 051907 | GA | |
| Radiation Oncology Physician | 2085R0001X | 96-01555 | NC | Primary |
Addresses
Primary practice location
514 N Brightleaf Blvd Ste 1200
Smithfield, NC 27577-4486
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other practice location 1
801 WH Smith Blvd
Greenville, NC 27834-3764
Phone (252) 329-0025
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205504 | Other | NC | MEDCOST |
| P00612671 | Other | NC | RAILROAD MEDICARE |
| 8912773 | Medicaid | NC | |
| 8373963 | Other | NC | CIGNA |
| 12773 | Other | NC | BCBS |
| 7331362 | Other | NC | AETNA |
| P01619309 | Other | NC | RR MEDICARE |
| 1811095771 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 253-7077
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051907 | GA | MD | Radiation Oncology Physician |
| 96-01555 | NC | MD | Radiation Oncology Physician |
| 0101 230080 | VA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Radiation Oncology | Current | Accepting new patients |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Adventhealth Medical Group Cancer and Specialty Care LLC | Radiation Oncology | Current | Accepting new patients |
| Asheville Urological Assoc Inc. | Current | Accepting new patients | |
| Sentara Albemarle Regional Medical Center | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients | |
| Sampson Radiation Oncology, PA | Radiation Oncology | Past | Accepting new patients |
Locations
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
20 Medical Park Dr
Asheville, NC 28803
Phone (828) 253-7077
1 Doctors Park
Asheville, NC 28801
Phone (828) 253-5314
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
Interoperability endpoints
- cballenger228877@direct.unc.nchie.net
Organizations & group practices 8
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.
-
dba AdventHealth Medical Group Radiation Oncology
- Radiation Oncology Physician
- Asheville, NC
- NPI 1306826961
-
dba Watauga Medical Center
- Hospitalist Physician
- Boone, NC
- NPI 1528134194
-
- Urology Physician
- Asheville, NC
- NPI 1790782340
-
dba Watauga Medical Center
- Hematology & Oncology Physician
- Boone, NC
- NPI 1861567893
Radiation Oncology
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Radiation Oncology Physician
- Clinton, NC
- NPI 1356361174
-
dba Sentara Albemarle Medical Center
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Watauga Medical Center
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1811095771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 N BRIGHTLEAF BLVD STE 1200",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774486",
"telephone_number": "919-209-3555"
}
],
"practiceLocations": [
{
"address_1": "801 WH Smith Blvd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278343764",
"country_code": "US",
"telephone_number": "252-329-0025",
"fax_number": "252-329-0325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLENGER",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101 230080",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "051907",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "96-01555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "205504",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00612671",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912773",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8373963",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "12773",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7331362",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01619309",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811095771",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.