Individual provider Active NPI

Cynthia Ann Ballenger, MD

  • Radiation Oncology Physician
  • Smithfield, NC
National Provider Identifier
1811095771
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
96-01555 Issued in NC
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
205504OtherNCMEDCOST
P00612671OtherNCRAILROAD MEDICARE
8912773MedicaidNC
8373963OtherNCCIGNA
12773OtherNCBCBS
7331362OtherNCAETNA
P01619309OtherNCRR MEDICARE
1811095771MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000355 NC Practitioner - Radiation Oncology 8820996713 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
051907GAMDRadiation Oncology Physician
96-01555NCMDRadiation Oncology Physician
0101 230080VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Medical Center Inc CurrentSince Sep 15, 2020 Accepting new patients
Watauga Medical Center Inc Radiation Oncology CurrentSince Sep 15, 2020 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Adventhealth Medical Group Cancer and Specialty Care LLC Radiation Oncology CurrentSince Oct 20, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.