GARRETT CLYDE BALLO MILITARY PROVIDER
NPI 1386315695
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, NC

Q: What is Garrett Ballo's NPI number?

The NPI number for Garrett Ballo is 1386315695. It was assigned to this individual provider in the NPPES registry on September 26, 2021.

Q: What is Garrett Ballo's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Garrett Ballo was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 26, 2021

116 MOSS CREEK DR, JACKSONVILLE, NC 28540(805) 305-1868 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2021, Sep 26, 2021 (2 updates tracked since 2021).

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About Garrett Clyde Ballo Military Provider NPPES

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

GARRETT CLYDE BALLO MILITARY PROVIDER (NPI 1386315695) is an individual independent duty corpsman provider in Jacksonville, North Carolina and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1386315695

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameGARRETT CLYDE BALLOCredential: MILITARY PROVIDER

Location Address116 MOSS CREEK DRJacksonville, NC 28540-3231

Mailing Address610 Loop RdSneads Ferry, NC 28460

Phone(805) 305-1868

Sole ProprietorYes

Enumeration DateSeptember 26, 2021

Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration

NPPES CertifiedNovember 6, 2021

✔ NPI 1386315695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

116 MOSS CREEK DR, Jacksonville, NC 28540

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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 Garrett Ballo's NPI number?

The NPI number for Garrett Ballo is 1386315695. It was assigned to this individual provider in the NPPES registry on September 26, 2021.

Where is Garrett Ballo located?

Garrett Ballo practices at 116 Moss Creek Dr, Jacksonville, NC 28540. The listed phone number is (805) 305-1868.

What is Garrett Ballo's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Garrett Ballo was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.