Active NPI
Pioneer Health Group LLC
- Speech-Language Pathologist
- Huntersville, NC
National Provider Identifier
1891156071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- PIONEER HEALTH GROUP LLC
- Practice address
- 15129 Oxford Holw
Huntersville, NC 28078-5511 - Phone
- (828) 773-4483
- NPI assigned
- Mar 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tracy B Ball
- Title
- Owner/Speech-Language Pathologist
- Phone
- (828) 773-4483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
15129 Oxford Holw
Huntersville, NC 28078-5511
Mailing address
15129 Oxford Hollow Rd
Huntersville, NC 28078-5511
Phone (828) 773-4483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891156071 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Huntersville, NC
- NPI 1942751896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1891156071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15129 OXFORD HOLLOW RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785511",
"telephone_number": "828-773-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15129 OXFORD HOLW",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785511",
"telephone_number": "828-773-4483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "BALL",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "828-773-4483",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891156071",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
- John Mark Pickering Jr., MD
- Francois Jacques Leopold Picot, MD
- Piedmont Oncology Specialists
- Monica Pieretti, LMCHC
- Laura Duggan Pinheiro, M.S. CCC-SLP
- Divya Majmudar Pirani, PT, DPT, PCS
- Giani Alexis Piscitelli
- Carrie Jane Pitts
- Plohal Dermatology PLLC (Dolce Dermatology and Aesthetics)
- Regina Plohal, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.