Dalice Rhea-ann Ballou (NPI# 1508336389, PAC ID# 1052659216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508336389 |
| PAC ID by PECOS | 1052659216 |
| Professional Enrollment ID | I20190213001306 |
| Full Name | Dalice Rhea-ann Ballou |
| Organization Legal Name | UNION COUNTY HOSPITAL AUTHORITY |
| Address |
178 Hospital Rd Suite B Blairsville GA 30512-3139 |
| Phone Number | 7064396863 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779490503 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110051 | UNION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 123 Weaver Rd, Suite A, Blairsville, GA 30512-3155 | 7068352222 | UNION GENERAL AFFILIATED SERVICES, LLC |
| 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 | 7064396863 | UNION COUNTY HOSPITAL AUTHORITY |
| 35 Hospital Rd, Blairsville, GA 30512-3139 | 7067452111 | UNION COUNTY HOSPITAL AUTHORITY |
| Organization Legal Name | UNION COUNTY HOSPITAL AUTHORITY |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Jean Smith | Nurse Practitioner | Union County Hospital Authority | 178 Hospital Rd, Blairsville, GA 30512-3139 |
| Suzanne Henry Turner | Anesthesiology | Union County Hospital Authority | 130 Hospital Cir, Blairsville, GA 30512-3130 |
| Douglas Keith Bradford | Certified Registered Nurse Anesthetist (crna) | Union County Hospital Authority | 35 Hospital Rd, Blairsville, GA 30512-3139 |
| Ronald Macbeth Jr. | Orthopedic Surgery | Union County Hospital Authority | 35 Hospital Rd, Blairsville, GA 30512-3139 |
| Jaclyn Camille Collins | Nurse Practitioner | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Dennis Wood | Physician Assistant | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Dusty Lynn Johnson | Certified Registered Nurse Anesthetist (crna) | Union County Hospital Authority | 35 Hospital Rd, Blairsville, GA 30512-3139 |
| Kathryn P Blocker | Emergency Medicine | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Dana Mcbrayer Conner | Family Medicine | Union County Hospital Authority | 130 Hospital Cir, Blairsville, GA 30512-3130 |
| Jeffrey Robert Tieder | Certified Registered Nurse Anesthetist (crna) | Union County Hospital Authority | 35 Hospital Rd, Blairsville, GA 30512-3139 |
| Street Address |
178 HOSPITAL RD SUITE B |
| City | BLAIRSVILLE |
| State | GA |
| Zip | 30512-3139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Jean Smith | Nurse Practitioner | Union County Hospital Authority | 178 Hospital Rd, Blairsville, GA 30512-3139 |
| Jaclyn Camille Collins | Nurse Practitioner | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Dennis Wood | Physician Assistant | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Kathryn P Blocker | Emergency Medicine | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Sharon Kestin | Internal Medicine | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Alexandra E Duvall | Physician Assistant | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Leslie L Hughes | Nurse Practitioner | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Debora P Quigley | Family Medicine | Union County Hospital Authority | 178 Hospital Rd, Suite B, Blairsville, GA 30512-3139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Elizabeth Hill | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Thomas D Gary | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Crystal B Gary | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Jennifer L Jones | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Tina S Keaton | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Joe Henry Livingston Iv | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Catherine Gordon | Nurse Practitioner | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Katherine Storms | Nurse Practitioner | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| David K Zollinger | Physician Assistant | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Jonathan A Lawrence | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Find all physicians in zip 30512 | |||
| City | BLAIRSVILLE |
| Zip Code | 30512 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLAIRSVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Dalice Rhea-ann Ballou.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.