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

Sally J Ballard, PA-C

Individual provider Medical Physician Assistant · NPI 1720288756

Sally J Ballard, PA-C is a Medical Physician Assistant in Goreville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

200 S Broadway
Goreville, IL 62939
Phone: (618) 995-2396
Fax: (618) 995-2947
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (IL)

Record details

NPI number1720288756
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2007
Last updated in NPPESNovember 12, 2007