A BALANCED PLACE, LLC
NPI 1003429663
Counselor - Professional in Oakwood, GA
About A Balanced Place, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A BALANCED PLACE, LLC (NPI 1003429663) is a healthcare organization registered as a professional in Oakwood, Georgia and active in the NPI registry since August 2020. The organization lists Charyl Durbin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
A Balanced Place, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to A Balanced Place, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is A Balanced Place, LLC's NPI number?
The NPI number for A Balanced Place, LLC is 1003429663. It was assigned to this organization in the NPPES registry on August 24, 2020.
Where is A Balanced Place, LLC located?
A Balanced Place, LLC is located at 4247 Skyline Vw, Oakwood, GA 30566. The listed phone number is (678) 387-9076.
What is A Balanced Place, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is A Balanced Place, LLC enrolled in Medicare?
Yes. A Balanced Place, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Balanced Place, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to A Balanced Place, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for A Balanced Place, LLC was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# A Balanced Place, Llc · NPI 1003429663
Professional organization in Oakwood, Georgia. Organization record, active in the CMS NPPES registry since August 24, 2020.
## Identity
- **NPI:** 1003429663 (Entity type: Organization)
- **Enumerated:** August 24, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Charyl Durbin, OWNER
## Practice location
- **Address:** 4247 SKYLINE VW, Oakwood, GA 30566-4307
- **Phone:** (678) 387-9076 · **Fax:** (678) 807-2834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003429663) · Data from the CMS NPPES public registry.