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

Mr. Paul Allen Ballard, PA-C, ATC

Individual provider Physician Assistant · NPI 1114445798

Mr. Paul Allen Ballard, PA-C, ATC is a Physician Assistant in Bossier City, Louisiana. Qualified in 2017, 9 years ago. Practices with Highland Clinic, a Prof Med Corp, a 60-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
9
Licensed in
LA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

5025 Shed Rd
Bossier City, LA 71111-5434
Phone: (318) 798-4623
Fax: (318) 795-4742
Show map & directions

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

Additional practice locations (2)

  • 1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-6000 — (318) 798-4623
  • 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 — (318) 300-3898

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 307181 (LA)
Surgical Physician Assistant Taxonomy 363AS0400X (LA)

Record details

NPI number1114445798
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Highland Clinic, A Prof Med Corp — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Bossier City