MRS. TOSHA BEATRICE BALFOUR MD
NPI 1184608838
Specialist in Decatur, GA

Q: What is Tosha Balfour's NPI number?

The NPI number for Tosha Balfour is 1184608838. It was assigned to this individual provider in the NPPES registry on December 5, 2005. The provider is also known as Dr. Tosha Balfour - Williams MD.

Q: What is Tosha Balfour's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Tosha Balfour was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment

2675 N DECATUR RD, SUITE G 03, DECATUR, GA 30033(404) 501-6925(404) 501-6930 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Tosha Beatrice Balfour Md NPPES

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

MRS. TOSHA BEATRICE BALFOUR MD (NPI 1184608838) is an individual specialist in Decatur, Georgia, licensed in Georgia (048205) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Howard University College Of Medicine (1995).

NPPES Registry Identity

NPI1184608838

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. TOSHA BEATRICE BALFOURCredential: MD

Location Address2675 N DECATUR RD, SUITE G 03Decatur, GA 30033

Mailing AddressPo Box 98446Atlanta, GA 30359 · (404) 423-8881 · Fax (404) 321-0223

Phone(404) 501-6925

Fax(404) 501-6930

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1995

Enumeration DateDecember 5, 2005

Last NPPES UpdateNovember 16, 2007

✔ NPI 1184608838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 048205

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2675 N DECATUR RD, Decatur, GA 30033

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Other Names 1

Other Name (5)Dr. Tosha Balfour - Williams Md

Other Identifiers 1

Medicare PIN92BBGDMGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tosha Beatrice Balfour Md 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 ID3375646631

PECOS Enrollment IDI20070307000495

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

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.

DR. IAN KATZ M.D.

Specialist

2675 N DECATUR RD, SUITE 611
DECATUR, GA 30033

Dekalb County (404) 501-9377

KAVIA CHANDRA KREITEL RN CNM

Advanced Practice Midwife

2675 N DECATUR RD
DECATUR, GA 30033

Dekalb County (404) 294-0472

AMANDA SINGH M.P.A.

Physician Assistant (Medical)

2675 N DECATUR RD
DECATUR, GA 30033

Dekalb County (404) 299-1678

STANLEY W SHERMAN, M.D. FACC

Internal Medicine (Cardiovascular Disease)

2675 N DECATUR RD, SUITE 607
DECATUR, GA 30033

Dekalb County (404) 501-7676

CONNIE SPIEGEL RT(R)CBRPA

Radiology Practitioner Assistant

2675 N DECATUR RD, SUITE 30
DECATUR, GA 30033

Dekalb County (404) 564-5400

MICHAEL BARRY STUBBS M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2675 N DECATUR RD, STE 710
DECATUR, GA 30033

Dekalb County (404) 292-4348

DR. LESLYE HOWELL PACE M.D.

Anesthesiology

2675 N DECATUR RD, SUITE 506
DECATUR, GA 30033

Dekalb County (404) 299-1679

MRS. ERIKA ANN BAUBE MSW

Social Worker (Clinical)

2675 N DECATUR RD, SUITE 701
DECATUR, GA 30033

Dekalb County (404) 294-8750

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 Tosha Balfour's NPI number?

The NPI number for Tosha Balfour is 1184608838. It was assigned to this individual provider in the NPPES registry on December 5, 2005. The provider is also known as Dr. Tosha Balfour - Williams MD.

Where is Tosha Balfour located?

Tosha Balfour practices at 2675 N Decatur Rd Suite G 03, Decatur, GA 30033. The listed phone number is (404) 501-6925.

What is Tosha Balfour's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Tosha Balfour enrolled in Medicare?

Yes. Tosha Balfour 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.

What insurance does Tosha Balfour accept?

Health plans from Alliant Health Plans, Inc. list Tosha Balfour 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 Tosha Balfour affiliated with any hospitals?

According to CMS data, Tosha Balfour is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Tosha Balfour was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.