Carl Andrew Ballard, FNP-C - Medicare Nurse Practitioner in Detroit, AL

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Carl Andrew Ballard, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Alabama. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mid-south Home Care Services Llc, North Mississippi Medical Center Inc and his current practice location is 2635 Johnson Bottom Rd, Detroit, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 495-0545.

Carl Andrew Ballard is licensed to practice in Mississippi (license number 904235) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386243574.

Contact Information

Carl Andrew Ballard, FNP-C
2635 Johnson Bottom Rd,
Detroit, AL 35552-2731
(205) 495-0545
Not Available

Map and Direction




Provider's Profile

Full NameCarl Andrew Ballard
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location2635 Johnson Bottom Rd, Detroit, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carl Andrew Ballard graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1386243574
  • Provider Enumeration Date: 10/20/2020
  • Last Update Date: 10/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577971019
  • Enrollment ID: I20210421001587

Medical Identifiers

Medical identifiers for Carl Andrew Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386243574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904235 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital
Baptist Memorial Hospital Union CountyNew albany, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-south Home Care Services Llc438596109391
North Mississippi Medical Center Inc9931010600285

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carl Andrew Ballard allows following entities to bill medicare on his behalf.
Entity NameNorth Mississippi Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541
Entity NameCaretime Medical Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700247855
PECOS PAC ID: 4587953096
Enrollment ID: O20160523000504
Entity NameMid-south Home Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346935129
PECOS PAC ID: 4385961093
Enrollment ID: O20230614002849

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carl Andrew Ballard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carl Andrew Ballard, FNP-C
2635 Johnson Bottom Rd,
Detroit, AL 35552-2731

Ph: () -		Carl Andrew Ballard, FNP-C
2635 Johnson Bottom Rd,
Detroit, AL 35552-2731

Ph: (205) 495-0545

Reviews and Comments


Nurse Practitioner Nurses in Detroit, AL

Mrs. Terena S Stidham, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 65345 Hwy 17, Detroit, AL 35552
Phone: 205-273-4056    Fax: 205-273-4058

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.