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Active NPI 1275836991 Individual Practitioner Female Practitioner

Shannon L Ballard , NP

Nurse Practitioner • Tupelo, MS

Professional Overview & Biography Verified Profile Summary

Shannon Ballard, NP is a registered healthcare professional specializing in Nurse Practitioner in Tupelo, MS. Practice services are available at 830 S GLOSTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

830 S Gloster St

Tupelo, MS 388014934

Telephone 8008939698
Associated Practice Facility / Clinic
🏢 North Mississippi Baromedical Facility NPI 1992759435

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tupelo, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
68 Specialists

Practicing in Tupelo, MS (1098 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R870654

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Robert Watson , MD

Emergency Medicine

NPI 1003834193

Doctor of Medicine (M.D.)

NPI 1033176185

Doctor of Medicine (M.D.)

Dr. Dave Daigle , MD

Emergency Medicine

NPI 1033382973

Doctor of Medicine (M.D.)

Dr. Michael Strayer , MD

Emergency Medicine

NPI 1043424021

Doctor of Medicine (M.D.)

Javier Rodriguez , PA

Physician Assistant

NPI 1043455348

Physician Assistant

Bonnie Smith , FNP

Nurse Practitioner - Family

NPI 1053385401

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2011

Registered at 830 S GLOSTER ST, TUPELO, MS 388014934 (Tel: 8008939698)

📍
Updated Business Mailing Address February 21, 2011

Registered at 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 705083870 (Tel: 8008939698)

👤
Provider Name / Credentials Updated February 21, 2011

Recorded as SHANNON BALLARD, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2011

Nurse Practitioner (License #R870654 in MS)

🟢
Initial NPI Registration & Enumeration December 20, 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: 1275836991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2010
Last Update: February 21, 2011
Sole Proprietor: No

Mailing Address

200 Corporate Blvd, Suite 201

Lafayette, LA 705083870

Phone: 8008939698

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.