GARY H BALLARD NP
NPI 1720022395
Nurse Practitioner - Family in East Ridge, TN

Active since June 15, 2006
403 MCBRIEN RD, EAST RIDGE, TN 37412(423) 894-3589(423) 892-3378 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary H Ballard Np NPPES

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

GARY H BALLARD NP (NPI 1720022395) is an individual family provider in East Ridge, Tennessee, licensed in Tennessee (RN0000063398) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1720022395
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGARY H BALLARDCredential: NP
Location Address403 MCBRIEN RDEast Ridge, TN 37412-3223
Mailing Address992 Clift Cave RdSoddy Daisy, TN 37379-5700 · (423) 332-9218 · Fax (423) 605-4704
Fax(423) 892-3378
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720022395 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 · RN0000063398
403 MCBRIEN RD, East Ridge, TN 37412

Other Identifiers 2

Medicare ID-Type Unspecified3904231
Medicare UPINP39094

Other Providers at the Same Location NPPES 5

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

Physician Assistant
403 MCBRIEN RD
EAST RIDGE, TN 37412
Family Medicine
403 MCBRIEN RD
EAST RIDGE, TN 37412
Nurse Practitioner (Family)
403 MCBRIEN RD
EAST RIDGE, TN 37412
Nurse Practitioner
403 MCBRIEN RD
EAST RIDGE, TN 37412
Family Medicine
403 MCBRIEN RD
EAST RIDGE, TN 37412

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 Gary Ballard's NPI number?

The NPI number for Gary Ballard is 1720022395. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Gary Ballard located?

Gary Ballard practices at 403 Mcbrien Rd, East Ridge, TN 37412. The listed phone number is (423) 894-3589.

What is Gary Ballard's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Ballard was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.