NPI 1366857930 · live from the CMS NPI Registry
Nancy Clarke Ballantyne, M.D.
Radiology, Diagnostic Radiology in Greensboro, NC. National Provider Identifier 1366857930, active.
NPI record
| NPI | 1366857930 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1331 N Elm St Ste 200, Greensboro, NC 27401 |
| Practice phone | 336-274-6682 |
| Mailing address | Po Box 85378, Chicago, IL 60689 |
| Enumerated | June 23, 2014 |
| Last updated | October 3, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 2018-02191 (NC) |
| General Practice | 208D00000X | LL36828 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.