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DARLA BALAS N.P.
NPI 1912357096
Nurse Practitioner in Lake Spivey, GA

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
7813 SPIVEY STATION BLVD, SUITE 210, LAKE SPIVEY, GA 30236(770) 507-0070(770) 507-7463 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2022, Sep 22, 2021, Sep 8, 2021 and 1 more (4 updates tracked since 2016).

About Darla Balas N.p. NPPES

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

DARLA BALAS N.P. (NPI 1912357096) is an individual nurse practitioner in Lake Spivey, Georgia, licensed in Georgia (RN228938) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912357096
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDARLA BALASCredential: N.P.
Location Address7813 SPIVEY STATION BLVD, SUITE 210Lake Spivey, GA 30236-2900
Mailing Address1100 Johnson Ferry Rd, Suite 510Sandy Springs, GA 30342-1709
Phone(770) 507-0070
Fax(770) 507-7463
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2011
Enumeration DateJune 20, 2016
Last NPPES UpdateNovember 11, 20224 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1912357096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · RN228938✔ Licensed in MI · 4704374874
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7813 SPIVEY STATION BLVD, Lake Spivey, GA 30236
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1217 S Madison StTraverse City, MI 49684-2321 · Phone (231) 392-8400 · Fax (231) 392-8467
Location 2400 Hobart StCadillac, MI 49601-2331 · Phone (231) 876-6421 · Fax (231) 876-6430

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Darla Balas N.p. 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 ID6608160080
PECOS Enrollment IDI20210929002792
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI
OwnershipGovernment - Local
CMS Certification Number231300
Location224 Park AvenueFrankfort, MI 49635 · Benzie County
Emergency services

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MINH LAM TANG PAA
Anesthesiologist Assistant
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Clayton County (404) 778-8311
SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
Surgery
7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236
Clayton County (770) 996-3190
JANA ELIZABETH YATES
Nurse Practitioner (Family)
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Clayton County (770) 268-6000
THE EMORY CLINIC INC
Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Clayton County (404) 778-3184
LAKE SPIVEY AMBULATORY SURGERY CARE, LLC
Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236
Clayton County (770) 268-6000
NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC
Durable Medical Equipment & Medical Supplies
7813 SPIVEY STATION BLVD, SUITE 210
JONESBORO, GA 30236
Clayton County (770) 507-0070
SOUTHLAKE AMBULATORY SURGERY CENTER, LLLP
Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236
Clayton County (770) 268-6000

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 Darla Balas's NPI number?

The NPI number for Darla Balas is 1912357096. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Darla Balas located?

Darla Balas practices at 7813 Spivey Station Blvd Suite 210, Lake Spivey, GA 30236. The listed phone number is (770) 507-0070.

What is Darla Balas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Darla Balas enrolled in Medicare?

Yes. Darla Balas 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 Darla Balas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Darla Balas 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 Darla Balas affiliated with any hospitals?

According to CMS data, Darla Balas is affiliated with Munson Healthcare Grayling Hospital, Munson Healthcare Cadillac Hospital, Munson Medical Center, Paul Oliver Memorial Hospital and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Darla Balas was last updated on November 11, 2022. 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.