MS. ANGELA RHEA BALLARD (NPI# 1376873513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376873513 |
| Entity Type | Individual |
| Full Name | MS. ANGELA RHEA BALLARD |
| Credential | PA-C |
| Practice Address |
6070 Lakeside Commons Dr Macon GA 31210 |
| Mailing Address |
105 Gibson Rd Macon GA 31220-4305 |
| Practice Telephone | 4782542644 |
| Practice Fax Number | 4782544924 |
| Mailing Telephone | 4788086066 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001243 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Jim Mason Ct, Ste A, Warner Robins, GA 310888965 | 4789714001 | 4789714004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431899 | Angela Susan Ballard | Counselor | 1033 Laurel St, San Carlos, CA 94070-3918 | 2017-08-02 |
| 1063947901 | Angela Neva Ballard | Physician Assistant | 4201 Bee Caves Rd Ste C100, West Lake Hills, TX 78746-6493 | 2017-04-28 |
| 1154673986 | Angela Michelle Ballard | Nurse Practitioner | 177 Burt Rd, Lexington, KY 40503-2457 | 2012-10-03 |
| 1033117478 | Angela Marie Ballard | Nurse Practitioner | 201 S 5th St, Bardstown, KY 40004-1142 | 2005-07-11 |
| Street Address |
6070 LAKESIDE COMMONS DR |
| City | MACON |
| State | GA |
| Zip Code | 31210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265549 | Rallie D Cogburn Sr. | Physician Assistant | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2005-06-16 |
| 1194350546 | Serwah Sarponma Amponsah | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2020-03-05 |
| 1336791292 | Morgan Dowd | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2019-07-11 |
| 1740849082 | Heather Hall | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2019-06-11 |
| 1588153498 | Stephanie Van Dine | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2018-05-07 |
| 1598028060 | Susannah Burns Goodman | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2012-06-20 |
| 1205113057 | Middle Georgia Heart and Vascular Center, LLC | Internal Medicine | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2011-11-08 |
| 1962650440 | Olexandr V. Smolensky | Internal Medicine | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2008-09-08 |
| 1922007541 | William Douglas Knopf | Internal Medicine | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854348 | Monica Bruney | Physician Assistant | 101 Preston Ct Ste 103, Macon, GA 31210-5771 | 2020-06-04 |
| 1023677895 | Kathleen Forbes Matthews | Physician Assistant | 3735 Bonita Pl, Macon, GA 31204-1309 | 2019-06-06 |
| 1659773018 | Joseph T. Smoak | Physician Assistant | 4226 Hartley Bridge Road, Suite 104, Macon, GA 31216-4116 | 2014-09-17 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1528235397 | Emmanuel Amwenba Enoghayin | Physician Assistant | 157 Cambridge Way, Macon, GA 31220-8736 | 2008-05-12 |
| 1801000153 | Jennifer L. Hames | Physician Assistant | 771 Orange St, Macon, GA 31201-2126 | 2007-05-09 |
| 1093847840 | Betty Jo Lynn Fancher | Physician Assistant | 3711 Eisenhower Pkwy, Macon, GA 31206-3672 | 2007-03-09 |
| 1659322105 | Christopher B Kelley | Physician Assistant | 201 Oakleaf Dr, Macon, GA 31210-1924 | 2006-05-12 |
| 1275591828 | Delano Parker | Physician Assistant | 1157 Forsyth Street, Macon, GA 31201 | 2006-05-03 |
| 1609869197 | Deborah D Moore | Physician Assistant | 1157 Forsyth St, Macon, GA 31201-7452 | 2005-08-30 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.