MEDICARE: DR. JOY KENDRICK BALL M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	200500603	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366444218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOY KENDRICK BALL M.D

Provider Business Mailing Address
First Line	:	4501 CAMERON VALLEY PKWY STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4298
Country	:	US
Telephone Number	:	704-367-7400
Fax Number	:	704-384-7830

Provider Business Practice Location Address
First Line	:	4501 CAMERON VALLEY PKWY STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4298
Country	:	US
Telephone Number	:	704-367-7400
Fax Number	:	704-384-7830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	08/11/2025

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