JULIE CHRISTINE BALTHASER APRN
NPI 1154204238
Nurse Practitioner in Calhoun, GA

Active since July 28, 2025PECOS EnrolledAccepts Medicare Assignment
1035 RED BUD RD NE, CALHOUN, GA 30701(706) 602-7800 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2026, May 20, 2026, Sep 16, 2025 and 1 more (4 updates tracked since 2025).

About Julie Christine Balthaser Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE CHRISTINE BALTHASER APRN (NPI 1154204238) is an individual nurse practitioner in Calhoun, Georgia, licensed in Georgia (GAA-NP004040) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154204238
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJULIE CHRISTINE BALTHASERCredential: APRN
Location Address1035 RED BUD RD NECalhoun, GA 30701-6010
Mailing Address1035 Red Bud Rd NeCalhoun, GA 30701-6010 · (706) 602-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 28, 2025
Last NPPES UpdateJune 1, 20264 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1154204238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · GAA-NP004040✔ Licensed in OH · APRN.CNP.0039684
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1035 RED BUD RD NE, Calhoun, GA 30701

Other Names 1

Former Name (1)Julie Christine James

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie Christine Balthaser Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901306638
PECOS Enrollment IDI20260130000282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Julie Balthaser reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 80 clinicians in this Medicare group
Emergency Medicine
707 OLD DALTON ELLIJAY RD
Chatsworth, GA 30705
  • Reassigned Medicare billing, Georgia enrollment
  • 55 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Nurse Anesthetist, Certified Registered
1035 RED BUD RD NE
CALHOUN, GA 30701
Physician Assistant (Medical)
1035 RED BUD RD NE
CALHOUN, GA 30701
Anesthesiology
1035 RED BUD RD NE
CALHOUN, GA 30701
Internal Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Urology
1035 RED BUD RD NE, SUITE 201
CALHOUN, GA 30701

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 Julie Balthaser's NPI number?

The NPI number for Julie Balthaser is 1154204238. It was assigned to this individual provider in the NPPES registry on July 28, 2025. The provider is also known as Julie Christine James.

Where is Julie Balthaser located?

Julie Balthaser practices at 1035 Red Bud Rd NE, Calhoun, GA 30701. The listed phone number is (706) 602-7800.

What is Julie Balthaser's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Julie Balthaser enrolled in Medicare?

Yes. Julie Balthaser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Julie Balthaser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Balthaser reassigns Medicare benefits to 3 organizations: Gordon Emergency Physicians, LLC (Calhoun, GA), Murray Emergency Physicians, LLC (Chatsworth, GA) and Emergency Coverage, LLC (Newport, TN). Each 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 Julie Balthaser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Balthaser accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Julie Balthaser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Julie Balthaser affiliated with any hospitals?

According to CMS data, Julie Balthaser is affiliated with Adventhealth Gordon and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Julie Balthaser was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.