Johnny D Ball, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31959 Issued in TN

Practice address

518 W Main St Ste C
Smithville, TN 37166-1100

Phone

(615) 597-4005

Fax

(615) 597-6667

NPI assigned

Aug 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dekalb Medical Clinic LLPGroup PAC ID 9133527245, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dekalb Community Hospital Hospital, Smithville, TN, CCN 440148

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dekalb Medical Clinic LLP

  • Family Medicine Physician
  • Smithville, TN
  • NPI 1700552890

  Family Medicine, TN

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas Dekalb Hospital, LLC

  • General Acute Care Hospital
  • Smithville, TN
  • NPI 1649659582

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1902532930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W MAIN ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661100",
            "telephone_number": "615-597-4005",
            "fax_number": "615-597-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W MAIN ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661100",
            "telephone_number": "615-597-4005",
            "fax_number": "615-597-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "JOHNNY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "31959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q076996",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Anderson
• Gayle Archer
• Robert R Atnip, DC
• Jason A Austin, PHARM.D
• Authentic Being Counseling Services
• Daniel Jefferson Barnes, DDS
• Alexis Bates
• Donald Glen Blaschke II, M.D.
• Laurel Bogle, PTA
• Botanical Emergency Physicians, LLC

• Family Medicine Physician in Smithville, TN
• Providers in Smithville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.

Verify at the official NPI Registry.