DR. ELNAZ BALASHI MD
NPI 1275153025
Internal Medicine - Rheumatology in Colquitt, GA

Q: What is Elnaz Balashi's NPI number?

The NPI number for Elnaz Balashi is 1275153025. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Elnaz Balashi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Elnaz Balashi was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment

209 N CUTHBERT ST, COLQUITT, GA 39837(229) 281-6096(229) 281-6097 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Feb 26, 2025, Apr 22, 2020 (3 updates tracked since 2020).

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About Dr. Elnaz Balashi Md NPPES

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

DR. ELNAZ BALASHI MD (NPI 1275153025) is an individual rheumatology provider in Colquitt, Georgia, licensed in Georgia (PENDING) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Manor, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275153025

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameDR. ELNAZ BALASHICredential: MD

Location Address209 N CUTHBERT STColquitt, GA 39837-3518

Mailing Address209 N Cuthbert StColquitt, GA 39837-3518 · (229) 281-6096 · Fax (229) 281-6097

Phone(229) 281-6096

Fax(229) 281-6097

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 22, 2020

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1275153025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in GA · PENDING

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

209 N CUTHBERT ST, Colquitt, GA 39837

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Elnaz Balashi 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 ID3375042351

PECOS Enrollment IDI20250818000092

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 Reassignment

Medicare enrollment records show Elnaz Balashi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Hospital Authority Of Miller County

Same address

Critical Access

209 N CUTHBERT ST
Colquitt, GA 39837

Reassigned Medicare billing, Georgia enrollment
29 clinicians in this Medicare group

NPI 1568179141 (229) 758-4212

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.

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110132

Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County

Emergency services Birthing friendly

Miller County Hospital

Critical Access Hospitals · Colquitt, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111305

Location209 N Cuthbert StreetColquitt, GA 39837 · Miller County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39837 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

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.

ONEIL CULVER MD

Surgery