1. Home
  2. Directory
  3. Tennessee
  4. Columbia
  5. Family Medicine
  6. NPI Profile

CHARLES A BALL M.D.
NPI 1154344836
Family Medicine in Columbia, TN

Active since July 25, 2006PECOS Enrolled
75/100
CMS Quality Rating
854 W JAMES CAMPBELL BLVD, SUITE 403, COLUMBIA, TN 38401(931) 380-0075(931) 388-7502 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles A Ball M.d. NPPES

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

CHARLES A BALL M.D. (NPI 1154344836) is an individual family medicine provider in Columbia, Tennessee, licensed in Tennessee (10356) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154344836
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES A BALLCredential: M.D.
Location Address854 W JAMES CAMPBELL BLVD, SUITE 403Columbia, TN 38401-4659
Mailing Address854 W James Campbell Blvd, Suite 303Columbia, TN 38401-4659 · (931) 540-4255 · Fax (931) 388-7502
Phone(931) 380-0075
Fax(931) 388-7502
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 8, 2016
✔ NPI 1154344836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 10356
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
854 W JAMES CAMPBELL BLVD, Columbia, TN 38401
Open in Google Maps ↗

Other Identifiers 11

Medicare PIN080177463TN
Medicare PIN3172058
Medicare PIN3732438
Other4131683TN · Bcbst
Other4119142TN · Bcbst
Medicare PIN3710089
Medicare UPINB03505TN
Medicaid3172059TN
Medicaid3710089TN
Medicare PIN3172059TN
Medicare PINCE0561TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles A Ball M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Charles Ball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Health Transitions, PLLC
268 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
NPI 1922463470 (423) 926-2358
Renuven Aco PLLC
268 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
NPI 1568209872 (423) 926-2358

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
521 services216 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
253 services77 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
206 services191 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
34 services34 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
25 services24 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims17 services$113.77 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier24 claims24 services$38.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. HANY NIMR REZK M.D.
Internal Medicine (Nephrology)
854 W JAMES CAMPBELL BLVD, STE. 101A
COLUMBIA, TN 38401
Maury County (931) 388-3209
FAMILY THERAPY CENTER
Counselor (Mental Health)
854 W JAMES CAMPBELL BLVD
COLUMBIA, TN 38401
Maury County (931) 490-0999
THOMAS W FARMER M.D.
Family Medicine
854 W JAMES CAMPBELL BLVD, SUITE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075
MRS. NINA ELIZABETH BOSHERS LMFT
Marriage & Family Therapist
854 W JAMES CAMPBELL BLVD, SUITE 201
COLUMBIA, TN 38401
Maury County (931) 490-0999
HOPE CARLANDE WEBB PA
Nurse Practitioner (Family)
854 W JAMES CAMPBELL BLVD, SUITE 404
COLUMBIA, TN 38401
Maury County (931) 381-2500
FAMILY HEALTH GROUP INC
Anesthesiology
854 W JAMES CAMPBELL BLVD
COLUMBIA, TN 38401
Maury County (931) 540-4255
MICHELLE LYNN KENNEDY APRN, FNP-C
Nurse Practitioner (Family)
854 W JAMES CAMPBELL BLVD, SUITE 100
COLUMBIA, TN 38401
Maury County (931) 490-7050
MAURY REGIONAL MEDICAL GROUP, INC
Family Medicine
854 W JAMES CAMPBELL BLVD, SUITE 303
COLUMBIA, TN 38401
Maury County (931) 540-4255

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 Charles Ball's NPI number?

The NPI number for Charles Ball is 1154344836. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Charles Ball located?

Charles Ball practices at 854 W James Campbell Blvd Suite 403, Columbia, TN 38401. The listed phone number is (931) 380-0075.

What is Charles Ball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Ball enrolled in Medicare?

Yes. Charles Ball is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Ball reassigns Medicare benefits to 2 organizations: Integrated Health Transitions, PLLC (Johnson City, TN) and Renuven Aco PLLC (Johnson City, TN). 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 Charles Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Ball accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Charles Ball 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.

When was this NPI record last updated?

The NPPES record for Charles Ball was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.