DR. HEMA BALINA MD
NPI 1386121838
Internal Medicine - Critical Care Medicine in Macon, GA

Active since July 26, 2018PECOS EnrolledAccepts Medicare Assignment
777 HEMLOCK ST, MACON, GA 31201(478) 633-6272(478) 633-6269 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2024, Jul 26, 2018 (2 updates tracked since 2018).

About Dr. Hema Balina Md NPPES

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

DR. HEMA BALINA MD (NPI 1386121838) is an individual critical care medicine provider in Macon, Georgia, licensed in Georgia (99558) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386121838
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. HEMA BALINACredential: MD
Location Address777 HEMLOCK STMacon, GA 31201-2102
Mailing Address777 Hemlock StMacon, GA 31201-2102 · (478) 633-6272 · Fax (478) 633-6269
Fax(478) 633-6269
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 26, 2018
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1386121838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in GA · 99558
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

777 HEMLOCK ST, Macon, GA 31201

Accepted 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

Dr. Hema Balina 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 ID7719425560
PECOS Enrollment IDI20240812003896
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
54 services22 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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.

Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201

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 Hema Balina's NPI number?

The NPI number for Hema Balina is 1386121838. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Hema Balina located?

Hema Balina practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (478) 633-6272.

What is Hema Balina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Hema Balina enrolled in Medicare?

Yes. Hema Balina 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 Hema Balina accept?

Health plans from Alliant Health Plans, Inc. list Hema Balina 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 Hema Balina affiliated with any hospitals?

According to CMS data, Hema Balina is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Hema Balina was last updated on June 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.