BALANCED MIND BEHAVIORAL HEALTH
NPI 1316732522
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since April 10, 2025
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214(470) 516-4399 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Balanced Mind Behavioral Health NPPES

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

BALANCED MIND BEHAVIORAL HEALTH (NPI 1316732522) is a healthcare organization registered as a psychiatric/mental health in Fayetteville, Georgia and active in the NPI registry since April 2025. The organization lists Priscilla Maxwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1316732522
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBALANCED MIND BEHAVIORAL HEALTH
Location Address320 LANIER AVE W STE 200Fayetteville, GA 30214-7443
Mailing Address320 Lanier Ave W Ste 200Fayetteville, GA 30214-7443
Organization SubpartNo
Authorized OfficialPriscilla MaxwellOwner · (470) 516-4399
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1316732522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
320 LANIER AVE W STE 200, Fayetteville, GA 30214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balanced Mind Behavioral Health 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 Balanced Mind Behavioral Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1881460509
320 LANIER AVE W STE 200
Fayetteville, GA 30214
(470) 516-4399
✔ PECOS✔ Accepts MedicareSame address

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 Balanced Mind Behavioral Health's NPI number?

The NPI number for Balanced Mind Behavioral Health is 1316732522. It was assigned to this organization in the NPPES registry on April 10, 2025.

Where is Balanced Mind Behavioral Health located?

Balanced Mind Behavioral Health is located at 320 Lanier Ave W Ste 200, Fayetteville, GA 30214. The listed phone number is (470) 516-4399.

What is Balanced Mind Behavioral Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Balanced Mind Behavioral Health enrolled in Medicare?

Yes. Balanced Mind Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Balanced Mind Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Balanced Mind Behavioral Health. 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 Balanced Mind Behavioral Health was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.