Active NPIIndividual providerSole proprietor

Dr. Percy R Ballard, MD

Psychiatry & Neurology, Psychiatry in Dorchester Center, Massachusetts

NPI Number1902067424
Practice location
12 Southern Ave, Dorchester Center, MA 02124-2012
Fax
615-777-2154
Last updated
June 8, 2026

Percy Ray Ballard is a Psychiatry & Neurology, Psychiatry based in Dorchester Center, MA. Percy Ray Ballard practices in Dorchester Center, MA and has the professional credentials of MD. The NPI Number for Percy Ray Ballard is 1902067424 and holds a License No. 249194 (MA). The current practice location address for Percy Ray Ballard is 12 Southern Ave, Dorchester Center, MA 02124-2012 and can be reached out via phone at 617-901-4569 and via fax at 615-777-2154.

Provider Profile Details

NPI Number
1902067424
Provider Name
Percy Ray Ballard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Southern Ave, Dorchester Center, MA 02124-2012
Phone Number
617-901-4569
Fax Number
615-777-2154
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2008
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Southern Ave
Dorchester Center, MA 02124-2012
Zip
02124-2012
Phone Number
617-901-4569
Fax Number
615-777-2154
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
829 Woodburn Dr
Brentwood, TN 37027-8728
City
Brentwood
State
TN
Zip
37027-8728
Phone Number
617-901-4569
Fax Number
615-777-2154

License Information

License Number (1)
249194
License State (1)
MA
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
License Number (2)
63652
License State (2)
TN
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Percy R Ballard, MD?

The NPI number of Dr. Percy R Ballard, MD is 1902067424. It was assigned on June 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Percy R Ballard, MD?

Dr. Percy R Ballard, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 249194.

Where does Dr. Percy R Ballard, MD practice?

The practice location is 12 Southern Ave, Dorchester Center, MA 02124-2012. The office can be reached at 617-901-4569 (phone) or 615-777-2154 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902067424 directly on the NPPES registry website.

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