Mallory Kay Ballard

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

9601 Baptist Health Dr Ste 860
Little Rock, AR 72205-6375

Phone

(501) 975-7455

Fax

(501) 975-3631

NPI assigned

May 19, 2021

Sex

Female

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 AR

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Dermatology PLLCGroup PAC ID 2466418470, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.96 of 100Reported as group

Quality

58.71

Promoting interoperability

99

Improvement activities

40

Cost

81.98

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: ballard@arderm.emadirect.md

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.

• Arkansas Dermatology PLLC

  • Dermatology Physician
  • Little Rock, AR
  • NPI 1013930320

  AR

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1972177251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 STOCKTON DR STE LL100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172916",
            "telephone_number": "501-975-7456",
            "fax_number": "501-978-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 860",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056375",
            "telephone_number": "501-975-7455",
            "fax_number": "501-975-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MALLORY",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282706795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrick James Ball, LCSW
• Robin Michele Ball, APRN
• Amy Ballard, LPC
• C.E. Ballard, M.D.
• Danny Mack Ballard, CRNA
• Mikayla Lauren Ballard, APRN
• Rebecca Ballard
• Sommer Ballard
• Dan L Ballenger, D.D.S., P.A.
• Calesha Ballou

• All providers in Little Rock, AR
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.