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

Jeffrey Tim Ballast, PA

Individual provider Physician Assistant · NPI 1063535300

Jeffrey Tim Ballast, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 1998, 28 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina and North Dakota.

Years since qualifying
28
Licensed in
NC, ND
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1237 Harding Pl Ste 3100
Charlotte, NC 28204
Phone: (704) 373-0212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (4)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1349

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03547 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PAC1127 (ND)

Record details

NPI number1063535300
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Charlotte