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

Individual provider Physician Assistant · NPI 1225317365

Kevin M. Ballard, PA is a Physician Assistant in Marietta, Georgia. Qualified in 2011, 15 years ago. Practices with Quantum Radiology PC, a 105-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

790 Church St NE Ste 400
Marietta, GA 30060-7282
Phone: (770) 952-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006171 (GA)

Record details

NPI number1225317365
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESMarch 10, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Quantum Radiology Pc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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