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Deactivated NPI 1376873513 Deactivated / Inactive NPI Female Practitioner

Angela Rhea Ballard , PA-C

Physician Assistant • Warner Robins, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Angela Ballard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2010
NPI Deactivation Date January 29, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Angela Ballard, PA-C was a registered Physician Assistant practicing in Warner Robins, GA. Throughout an active medical career spanning 9 years, Angela Ballard provided care at the practice location at 100 JIM MASON CT until profile deactivation on 2019-01-29.

Historical Medicare Part B clinical services included established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, blood test, clotting time. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

100 Jim Mason Ct
Ste A

Warner Robins, GA 310888965

Telephone 4789714001
Fax 4789714004
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warner Robins, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
34 Specialists

Practicing in Warner Robins, GA (4726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
325 262 $202.00 $86.91
93000 Routine ekg using at least 12 leads including interpretation and report
158 144 $95.00 $13.48
85610 Blood test, clotting time
43 12 $42.00 $4.75
99213 Established patient office or other outpatient visit, typically 15 minutes
36 36 $120.00 $58.12
93793 Anticoagulant management of patient taking warfarin
35 11 $30.00 $9.80

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 001243

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Christi Mcpherson , APRN FNP-C

Nurse Practitioner - Family

NPI 1073955597

APRNFNPC

Dr. Sagar Patel , MD

Anesthesiology - Pain Medicine

NPI 1235363813

Doctor of Medicine (M.D.)

Dr. Jeremy Prine , MD

Pain Medicine - Interventional Pain Medicine

NPI 1508000332

Doctor of Medicine (M.D.)

Dr. Chandresh Viradia , MD

Pain Medicine - Interventional Pain Medicine

NPI 1538117015

Doctor of Medicine (M.D.)

Hunter Jackson , AGACNP

Nurse Practitioner

NPI 1669041786

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Vijay Thillainathan , MD

Anesthesiology - Pain Medicine

NPI 1730392093

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated January 29, 2019

Record deactivated on January 29, 2019

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Updated Practice Location June 28, 2018

Registered at 6070 LAKESIDE COMMONS DR, MACON, GA 31210 (Tel: 4782542644)

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Updated Business Mailing Address June 28, 2018

Registered at 105 GIBSON RD, MACON, GA 312204305 (Tel: 4788086066)

NPI Profile Active May 20, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 20, 2013

Registered at 100 JIM MASON CT, STE A, WARNER ROBINS, GA 310888965 (Tel: 4789714001)

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Updated Business Mailing Address May 20, 2013

Registered at 100 JIM MASON CT, STE A, WARNER ROBINS, GA 310888965 (Tel: 4789714001)

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Provider Name / Credentials Updated May 20, 2013

Recorded as ANGELA BALLARD, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2013

Physician Assistant (License #001243 in GA)

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Initial NPI Registration & Enumeration January 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376873513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2010
Last Update: May 20, 2013
Deactivation Date: January 29, 2019

Mailing Address

100 Jim Mason Ct, Ste A

Warner Robins, GA 310888965

Phone: 4789714001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.