LUKE MICHELE BALDING M.D.
NPI 1881984912
Hospitalist in Gainesville, GA
About Luke Michele Balding M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUKE MICHELE BALDING M.D. (NPI 1881984912) is an individual hospitalist provider in Gainesville, Georgia, licensed in Georgia (081113) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Nashville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
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
Luke Michele Balding M.d. 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 Reassignments
2Medicare enrollment records show Luke Balding reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 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.
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 Forsyth
Acute Care Hospitals · Cumming, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Luke Balding's NPI number?
The NPI number for Luke Balding is 1881984912. It was assigned to this individual provider in the NPPES registry on April 11, 2011.
Where is Luke Balding located?
Luke Balding practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.
What is Luke Balding's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Luke Balding enrolled in Medicare?
Yes. Luke Balding 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 Luke Balding's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Balding reassigns Medicare benefits to 2 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA) and North Atlanta Professional Services LLC (Atlanta, 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 Luke Balding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Luke Balding affiliated with any hospitals?
According to CMS data, Luke Balding is affiliated with Northside Hospital Forsyth.
When was this NPI record last updated?
The NPPES record for Luke Balding was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Luke Michele Balding, M.D. · NPI 1881984912
Hospitalist physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1881984912 (Entity type: Individual)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 081113 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501
- **Phone:** (770) 219-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** December 8, 2020
- **Other identifiers:** Other 10311I7134; Medicaid 7100341890 (KY); Medicaid Q009241 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1881984912) · Data from the CMS NPPES public registry.