CARL ANDREW BALLARD FNP-C
NPI 1386243574
Nurse Practitioner - Family in Detroit, AL
About Carl Andrew Ballard Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL ANDREW BALLARD FNP-C (NPI 1386243574) is an individual family provider in Detroit, Alabama, licensed in Mississippi (904235) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Carl Andrew Ballard Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carl Ballard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 18 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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSWebster General Hospital/ Swing Bed
Acute Care Hospitals · Eupora, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35552 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Carl Ballard's NPI number?
The NPI number for Carl Ballard is 1386243574. It was assigned to this individual provider in the NPPES registry on October 20, 2020.
Where is Carl Ballard located?
Carl Ballard practices at 2635 Johnson Bottom Rd, Detroit, AL 35552. The listed phone number is (205) 495-0545.
What is Carl Ballard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carl Ballard enrolled in Medicare?
Yes. Carl 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 Carl Ballard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Ballard reassigns Medicare benefits to 2 organizations: North Mississippi Medical Center, Inc. (Tupelo, MS) and Mid-South Home Care Services, LLC (Tupelo, MS). 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 Carl Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Ballard accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Carl 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 Carl Ballard affiliated with any hospitals?
According to CMS data, Carl Ballard is affiliated with North Mississippi Medical Center and Webster General Hospital/ Swing Bed.
When was this NPI record last updated?
The NPPES record for Carl Ballard was last updated on October 20, 2020. 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.
# Carl Andrew Ballard, FNP-C · NPI 1386243574
Family physician in Detroit, Alabama. Individual provider, active in the CMS NPPES registry since October 20, 2020.
## Identity
- **NPI:** 1386243574 (Entity type: Individual)
- **Enumerated:** October 20, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 904235 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2635 JOHNSON BOTTOM RD, Detroit, AL 35552-2731
- **Phone:** (205) 495-0545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Mississippi Medical Center, Inc. (NPI 1013385715, Tupelo, MS); Mid-South Home Care Services, LLC (NPI 1346935129, Tupelo, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1386243574) · Data from the CMS NPPES public registry.