MRS. TOSHA BEATRICE BALFOUR MD
NPI 1184608838
Specialist in Decatur, GA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Tosha Balfour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Decatur, GA 30033
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
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.
Which organization bills Medicare for Tosha Balfour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tosha Balfour reassigns Medicare benefits to Cancer Care Specialists, P.C. (Decatur, GA). The 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 Tosha Balfour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tosha Balfour accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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.
# Mrs. Tosha Beatrice Balfour, MD · NPI 1184608838
Specialist provider in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since December 5, 2005.
## Identity
- **NPI:** 1184608838 (Entity type: Individual)
- **Enumerated:** December 5, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 048205 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2675 N DECATUR RD, SUITE G 03, Decatur, GA 30033
- **Phone:** (404) 501-6925 · **Fax:** (404) 501-6930
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cancer Care Specialists, P.C. (NPI 1457573073, Decatur, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 1995
## Record status
- **NPPES last updated:** November 16, 2007
- **Other identifiers:** Medicare PIN 92BBGDM (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1184608838) · Data from the CMS NPPES public registry.