Nancy Clarke Ballantyne, M.D.
Radiology, Diagnostic Radiology in Greensboro, NC. Individual provider (NPI-1).
NPI number1366857930
StatusActive
Last updated in NPPESOct 3, 2025
Details
- NPI
- 1366857930
- Entity type
- Individual (NPI-1)
- Name
- Nancy Clarke Ballantyne
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2014
- Certification date
- Oct 3, 2025
- Last updated
- Oct 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 2018-02191 | NC | Yes |
| 208D00000X | General Practice | LL36828 | SC |
Practice location
1331 N Elm St Ste 200Greensboro, NC 27401-6304
Phone 336-274-6682 · Fax 336-274-8097
Mailing address
Po Box 85378Chicago, IL 60689-5378
Phone 336-274-6682 · Fax 336-274-8097
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