Monica Ballard
NPI 1568028959 · Family Nurse Practitioner · Douglasville, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Ballard is a Family Nurse Practitioner provider in Douglasville, GA (NPI 1568028959).
Provider details
- NPI number
- 1568028959
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN195425 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
354 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 109 | $78 |
| Automated Urinalysis Test81003 | 42 | $2 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 41 | $12 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 39 | $110 |
| Blood Test, Basic Group of Blood Chemicals (calcium, Ionized)80047 | 30 | $13 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 30 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 45 | 45 |
| Doxycycline Hyclate | 35 | 34 |
| Cefdinir | 19 | 18 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 15 | 15 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 15 | 15 |
| Mupirocin | 15 | 15 |
| Ciprofloxacin Hcl | 13 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-13
- Last updated
- 2019-05-13
Frequently asked questions
- What is Monica Ballard's NPI number?
- Monica Ballard's National Provider Identifier (NPI) is 1568028959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Ballard's specialty?
- Monica Ballard is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Monica Ballard located?
- Monica Ballard's practice location on file with NPPES is 9390 the Landing Dr, Douglasville, GA 30135-7180.
- What is Monica Ballard's phone number?
- The practice phone number listed in the NPPES registry for Monica Ballard is (770) 947-1112.
- Does Monica Ballard accept Medicare?
- Monica Ballard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Ballard's NPI active?
- Yes — Monica Ballard's NPI (1568028959) is active in the NPPES registry as of the last update on 2019-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.