Thomas Anthony Ballis, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002121 Issued in NC

Practice address

720 N 3Rd St
Ste 101
Wilmington, NC 28401-3474

Phone

(910) 251-2106

Fax

(910) 251-7859

NPI assigned

Sep 5, 2006

Last updated

May 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tab Ballis Professional name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of North Carolina at Chapel Hill School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Insight Wellness Services PC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1225972912
  NPD (past)
• Jeanne Marshall PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1548049968
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1982707279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 3RD ST",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013474",
            "telephone_number": "910-251-2106",
            "fax_number": "910-251-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N 3RD ST",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013474",
            "telephone_number": "910-251-2106",
            "fax_number": "910-251-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIS",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "447",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002056",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAB",
            "last_name": "BALLIS",
            "credential": "LCSW, LCAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephen Ball, MA, LPCA
• Brandon Ballard
• Kristen Lauren Ballard, MSW LCSWA
• Kristin Johnston Ballard, DNP
• Heather Ballew, MSN-NNP
• Albert Baltazar
• Helen Jeanette Baltezegar, CFM
• Megan Elizabeth Bandish Shirley, D.C.
• Anshika Bandy, DO
• Sarah Banks

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.