NPI age
14 years
Enumerated 2011-08-08
● Active
Type 1 · Individual
Kevin M. Ballard, P.A.
Ballard is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-03-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
14 years
↑ 6 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Practice location
790 Church St Ne, Suite 400
Marietta, GA 300607282
Mailing address
Po Box 3157
Indianapolis, IN 462063157
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003112208A | |
| 05 (GA) | 003112208B |
Practice context
Part of a multi-provider practice. 90 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Marietta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.