DR. JULIA ELIZABETH BALLARD MD
NPI 1053409201
Internal Medicine in Atlanta, GA

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
82.24/100
CMS Quality Rating
1968 PEACHTREE RD NW, ATLANTA, GA 30309(404) 605-3297 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 29, 2019, Sep 28, 2015 (2 updates tracked since 2015).

About Dr. Julia Elizabeth Ballard Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIA ELIZABETH BALLARD MD (NPI 1053409201) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (21637) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1053409201
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JULIA ELIZABETH BALLARDCredential: MD
Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281
Mailing AddressPo Box 19599Atlanta, GA 30325-0599 · (404) 605-3297
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1979
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1053409201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 21637
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 021637 (GA)
1968 PEACHTREE RD NW, Atlanta, GA 30309

Other Names 1

Other Name (5)Julia Ballard Haralson Md

Secondary Practice Location 1

Location 1745 Poplar RdNewnan, GA 30265-1618 · Phone (770) 253-1912 · Fax (770) 253-8845

Other Identifiers 1

Medicaid000229765EGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Julia Elizabeth Ballard Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688630072
PECOS Enrollment IDI20041207001068
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Julia Ballard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
Emergency Medicine
60 HOSPITAL RD
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Emergency Medicine
1514 VERNON RD
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 144 clinicians in this Medicare group
Emergency Medicine
301 E 18TH ST
Anniston, AL 36207
  • Reassigned Medicare billing, Alabama enrollment
  • 112 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julia Ballard's NPI number?

The NPI number for Julia Ballard is 1053409201. It was assigned to this individual provider in the NPPES registry on October 11, 2006. The provider is also known as Julia Ballard Haralson MD.

Where is Julia Ballard located?

Julia Ballard practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 605-3297.

What is Julia Ballard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Julia Ballard enrolled in Medicare?

Yes. Julia Ballard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Julia Ballard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Ballard reassigns Medicare benefits to 4 organizations: City Of Hope Medical Group Of Georgia LLC (Newnan, GA), Coweta Emergency Group LLC (Newnan, GA), Lagrange Emergency Physicians, LLC (Lagrange, GA) and Alabama Emergency Physician Partners, LLC (Anniston, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julia Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Ballard accept?

Health plans from Oscar Health and Oscar Insurance Company list Julia Ballard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Julia Ballard affiliated with any hospitals?

According to CMS data, Julia Ballard is affiliated with Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Julia Ballard was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.