JEDIDIAH AMOS BALLARD (DO) – Emergency Medicine Physician, NPI 1023329976

JEDIDIAH AMOS BALLARD (DO) is a healthcare provider. based in Augusta, Georgia. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 19065 (MT). The NPI Number for JEDIDIAH AMOS BALLARD (DO) is 1023329976

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JEDIDIAH AMOS BALLARD (DO)
NPI
1023329976
Phone
(706) 724-6100
Address
1499 WALTON WAY
Enumeration Date
25 June 2010
Last Update Date
1 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7123285230
Graduation Year
2010 (16 years ago)
PAC ID
8224342738
Group Practice PAC ID
4880587070
Professional Enrollment ID
I20190529001161
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:15State licenses:3Digital endpointsOther names

Provider Addresses for JEDIDIAH AMOS BALLARD (DO)

  • 1499 WALTON WAY

    SUITE 1400

    AUGUSTA, GA 309012603

    Phone: (706) 724-6100

    Type: Mailing

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone: (706) 724-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Braeburn Inc. ($123).

Total Amount

$123

General + Research + Ownership

Payments

1

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Braeburn Inc.$123
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150728005577IEmergency MedicineGATBD
I20190529001161IEmergency MedicineIATBD
I20191029000339IEmergency MedicineVITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making7777$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4342$0
99284Emergency department visit with moderate level of medical decision making3535$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880587070View full group profile

Reviews

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Frequently asked questions

Does JEDIDIAH AMOS BALLARD (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JEDIDIAH AMOS BALLARD (DO) uses 1023329976.
Can I rely on JEDIDIAH AMOS BALLARD (DO) being an active provider?
As of the registry snapshot, JEDIDIAH AMOS BALLARD (DO) is marked active.
What taxonomy line describes JEDIDIAH AMOS BALLARD (DO)?
For research purposes, treat JEDIDIAH AMOS BALLARD (DO) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JEDIDIAH AMOS BALLARD (DO) based?
JEDIDIAH AMOS BALLARD (DO) is tied to Augusta, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.