Individual provider Active NPI

Kimberly Ramsey Ballard, MD

  • Obstetrics & Gynecology Physician
  • Maryville, TN
National Provider Identifier
1851360812
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
034488 Issued in TN
Practice address
270 BMH Physicians Office Building
Maryville, TN 37804-3780
Phone
(865) 546-1642
Fax
(833) 396-2528
NPI assigned
Mar 14, 2006
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 034488 TN Primary

Addresses

Primary practice location

270 BMH Physicians Office Building
Maryville, TN 37804-3780

Mailing address

270 BMH Physician Office Building
Maryville, TN 37804-1527
Phone (865) 546-1642

Other identifiers 2

IdentifierTypeStateIssuer
6169056OtherTNBCBS
Q007724MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101102000019 TN Practitioner - Obstetrics/Gynecology 4284828468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Care Group, PLLCGroup PAC ID 3274886809, 11 clinicians

Practice addresses (Care Compare)

270 BMH Physicians Office BLDG
Maryville, TN 37804-5904
Phone (865) 595-3421

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034488TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health - Blount Memorial Hospital Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kballard865895@direct.ghs.myhfn.org
  • Direct secure messaging: kimberly.ballard.1@24372.direct.athenahealth.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.

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1851360812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BMH PHYSICIAN OFFICE BUILDING",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378041527",
            "telephone_number": "865-546-1642",
            "fax_number": "865-681-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BMH PHYSICIANS OFFICE BUILDING",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043780",
            "telephone_number": "865-546-1642",
            "fax_number": "833-396-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "KIMBERLY",
        "middle_name": "RAMSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "034488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6169056",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007724",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.