NPIMap

Individual provider Active NPI

Summer Grace Balman

  • Physician Assistant
  • Caldwell, KS
National Provider Identifier
1033890405
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
761 W 175TH St S
Caldwell, KS 67022-8301
Phone
(620) 845-2516
NPI assigned
Jul 28, 2023
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

761 W 175TH St S
Caldwell, KS 67022-8301

Mailing address

761 W 175TH St S
Caldwell, KS 67022-8301
Phone (620) 845-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240227003150 GA Practitioner - Physician Assistant 0042655219 Reassigns benefits to 3 organizations
I20250520000874 KS Practitioner - Physician Assistant 0042655219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

150 MJ Taylor Rd
Adel, GA 31620-3497
Phone (229) 896-8440

172 MJ Taylor Rd
Adel, GA 31620-3497
Phone (229) 896-8500

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

761 W 175TH St S
Caldwell, KS 67022-8301
Phone (620) 845-6492

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Nov 24, 2025 Accepting new patients
Lindsborg Community Hospital Association CurrentSince Apr 14, 2025 Accepting new patients
Urgent Care of Oconee, LLC CurrentSince Jan 15, 2024 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC CurrentSince Jan 10, 2026 Accepting new patients
Lindsborg Community Rural Health Clinic Inc Current Accepting new patients
Lindsborg Community Hospital Association CurrentSince Apr 14, 2025 Accepting new patients
Urgent Care of Oconee, LLC CurrentSince Jan 15, 2024 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Sumner County Hospital District No 1 CurrentSince Feb 27, 2025 Accepting new patients
Lindsborg Community Hospital Association Current Accepting new patients

Locations

2375 W Broad St
Ste G
Athens, GA 30606
Phone (706) 567-6151

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

1690 Eatonton Rd
Madison, GA 30650
Phone (706) 342-7272

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2061 Experiment Station Rd
Ste 505
Watkinsville, GA 30677
Phone (706) 310-0324

761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIEDD/Endpoint/HDIEDD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1033890405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 W 175TH ST S",
            "city": "CALDWELL",
            "state": "KS",
            "postal_code": "670228301",
            "telephone_number": "620-845-2516",
            "fax_number": "620-845-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 W 175TH ST S",
            "city": "CALDWELL",
            "state": "KS",
            "postal_code": "670228301",
            "telephone_number": "620-845-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMAN",
        "first_name": "SUMMER",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, KS

Sources for this page

Verify at the official NPI Registry.