Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Richard Dane Ballard, MD

Individual provider Interventional Cardiology Physician · NPI 1366739054

Dr. Richard Dane Ballard, MD is a Cardiovascular Disease (Cardiology) in Tupelo, Mississippi. Graduated from University of Mississippi School of Medicine in 2018, 8 years ago. Practices with North Mississippi Clinics LLC, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801
Phone: (662) 620-6800
Fax: (662) 620-6950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 — (662) 620-6800

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 22430 (MS)

Record details

NPI number1366739054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 1, 2011
Last updated in NPPESSeptember 18, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice North Mississippi Clinics Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare