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BALLARD FAMILY MEDICAL
NPI 1407121635
Nurse Practitioner - Family in Winchester, TN

Active since March 21, 2012
100 3RD AVE SE, WINCHESTER, TN 37398(931) 392-4749(931) 967-0284 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2023, Apr 6, 2020 (2 updates tracked since 2020).

About Ballard Family Medical NPPES

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

BALLARD FAMILY MEDICAL (NPI 1407121635) is a healthcare organization registered as a family in Winchester, Tennessee and active in the NPI registry since March 2012. The organization lists Brandy Denise Ballard, Provider, as its authorized official.

NPPES Registry Identity

NPI1407121635
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBALLARD FAMILY MEDICAL, INC
Location Address100 3RD AVE SEWinchester, TN 37398-1570
Mailing Address100 3rd Ave SeWinchester, TN 37398-1570 · (931) 392-4749 · Fax (931) 967-0284
Phone(931) 392-4749
Fax(931) 967-0284
Organization SubpartNo
Authorized OfficialBrandy Denise BallardProvider · (931) 392-4749
Enumeration DateMarch 21, 2012
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1407121635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN08389
100 3RD AVE SE, Winchester, TN 37398
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Other Names 1

Doing Business AsBallard Family Medical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ballard Family Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ballard Family Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brandy Ballard, N.P.
Nurse Practitioner
NPI 1174621478
100 3RD AVE SE
Winchester, TN 37398
(931) 392-4749
✔ PECOS✔ Accepts MedicareSame address
Brooklyn Garner, FNP-BC
Nurse Practitioner
NPI 1699610907
1208 CHOCTAW TRL
Brentwood, TN 37027
(615) 645-3031
✔ PECOS66 mi

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

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 Ballard Family Medical, Inc's NPI number?

The NPI number for Ballard Family Medical, Inc is 1407121635. It was assigned to this organization in the NPPES registry on March 21, 2012. The provider is doing business as Ballard Family Medical.

Where is Ballard Family Medical, Inc located?

Ballard Family Medical, Inc is located at 100 3rd Ave SE, Winchester, TN 37398. The listed phone number is (931) 392-4749.

What is Ballard Family Medical, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ballard Family Medical, Inc enrolled in Medicare?

Yes. Ballard Family Medical, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ballard Family Medical, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ballard Family Medical, Inc. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ballard Family Medical, Inc was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.