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LOGAN BALKCOM
NPI 1891457768
Anesthesiologist Assistant in Tifton, GA

Active since October 08, 2021Accepts Medicare Assignment
78.41/100
CMS Quality Rating
901 18TH ST E, TIFTON, GA 31794(229) 382-7120 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Logan Balkcom NPPES

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

LOGAN BALKCOM (NPI 1891457768) is an individual anesthesiologist assistant in Tifton, Georgia, licensed in Georgia (10709) and active in the NPI registry since October 2021. He is affiliated with Tift Regional Medical Center and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891457768
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameLOGAN BALKCOM
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address901 18th St ETifton, GA 31794-3648 · (229) 382-7120
Phone(229) 382-7120
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1891457768 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 · 10709
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.
901 18TH ST E, Tifton, GA 31794
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Logan 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 ID7517365018
PECOS Enrollment IDI20211014000554

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA
OwnershipProprietary
CMS Certification Number110101
Location260 Mj Taylor RoadAdel, GA 31620 · Cook County
Emergency services

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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

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.

COLE BURGESS CRNA
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6124
ISRAEL SAUCEDO APRN, FNP-C
Nurse Practitioner (Acute Care)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-7050
JAVERIA NASEER MBBS
Student in an Organized Health Care Education/Training Program
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 382-7120
WILLIAM A GUEST MD
Internal Medicine (Pulmonary Disease)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-3400
JOSE ABANTAO PT
Physical Therapist
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-3347
DR. KAMRAN LATEEF MD
Internal Medicine
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6051
HEATH FARMER CRNA
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6124
DAVID RYAN ATKINS APRN-BC
Nurse Practitioner (Family)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 382-7120

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 Logan Balkcom's NPI number?

The NPI number for Logan Balkcom is 1891457768. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Where is Logan Balkcom located?

Logan Balkcom practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.

What is Logan Balkcom's specialty?

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

Is Logan Balkcom enrolled in Medicare?

Yes. Logan 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.

What insurance does Logan Balkcom accept?

Health plans from Alliant Health Plans, Inc. list Logan 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.

Is Logan Balkcom affiliated with any hospitals?

According to CMS data, Logan Balkcom is affiliated with Tift Regional Medical Center and Cook Medical Center A Campus Of Tift Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Logan Balkcom was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.