VIRGINIA LYNN BALKCOM
NPI 1598133548
Anesthesiologist Assistant in Fayetteville, GA

Active since September 08, 2015Accepts Medicare Assignment
92.26/100
CMS Quality Rating
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(404) 351-1745 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Virginia Lynn Balkcom NPPES

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

VIRGINIA LYNN BALKCOM (NPI 1598133548) is an individual anesthesiologist assistant in Fayetteville, Georgia, licensed in Georgia (7723) and active in the NPI registry since September 2015. She is a graduate of Emory University School Of Medicine (2015).

NPPES Registry Identity

NPI1598133548
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameVIRGINIA LYNN BALKCOM
Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526
Mailing Address1500 Concord Ter Fl 5Sunrise, FL 33323-2815
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2015
Enumeration DateSeptember 8, 2015
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1598133548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 7723
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1255 HIGHWAY 54 W, Fayetteville, GA 30214

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

Virginia Lynn Balkcom 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 ID1052612926
PECOS Enrollment IDI20151217002277

Medicare Billing Reassignments

5

Medicare enrollment records show Virginia Balkcom reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1984 PEACHTREE ROAD NW, SUITE 515
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 441 clinicians in this Medicare group
Anesthesiology
183 MYSTIC PLACE NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 201 clinicians in this Medicare group
Anesthesiology
6105 PEACHTREE DUNWOODY RD STE B110
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 90 clinicians in this Medicare group
Anesthesiology
1700 MEDICAL WAY
Snellville, GA 30078
  • Reassigned Medicare billing, Georgia enrollment
  • 156 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiology
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Anesthetist, Certified Registered
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214

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 Virginia Balkcom's NPI number?

The NPI number for Virginia Balkcom is 1598133548. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Virginia Balkcom located?

Virginia Balkcom practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (404) 351-1745.

What is Virginia Balkcom's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Virginia Balkcom enrolled in Medicare?

Yes. Virginia Balkcom 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 organizations bill Medicare for Virginia Balkcom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Balkcom reassigns Medicare benefits to 5 organizations: Piedmont Anesthesia Associates, L.L.C (Atlanta, GA), Concordia Anesthesiology, Inc (Atlanta, GA), North Fulton Anesthesia Associates PC (Atlanta, GA), Premier Anesthesia Of Georgia LLC (Snellville, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Virginia Balkcom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Balkcom accept?

Health plans from Oscar Health and Oscar Insurance Company list Virginia Balkcom 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.

When was this NPI record last updated?

The NPPES record for Virginia Balkcom was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.