Kimberly L Balasky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D.O.859 Issued in AL

Practice address

49494 Highway 17
Sulligent, AL 35586-4454

Phone

(205) 698-7111

Fax

(205) 698-0516

NPI assigned

Mar 16, 2006

Last updated

Nov 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Health Services - South Marion Hospital, Winfield, AL, CCN 010086
• Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kimberly Balasky DO PC

  • Family Medicine Physician
  • Guin, AL
  • NPI 1609107879
  Medicare reassignment Authorized official
• Lou Ann Hubbard LLC

  • Family Nurse Practitioner
  • Guin, AL
  • NPI 1225450927
  NPD
• Eastside Ventures, Inc.

  dba Cleveland Family Healthcare

  • Family Medicine Physician
  • Cleveland, AL
  • NPI 1609900406
  NPD (past)

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

• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion

  • General Acute Care Hospital
  • Winfield, AL
  • NPI 1083402895
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Psych Unit

  • Psychiatric Hospital Unit
  • Winfield, AL
  • NPI 1447049598
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Winfield, AL
  • NPI 1730978875
  Care Compare affiliation

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1063481489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49494 HIGHWAY 17",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355864454",
            "telephone_number": "205-698-7111",
            "fax_number": "256-698-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49494 HIGHWAY 17",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355864454",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASKY",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "D.O.859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063481489",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR GROUP",
            "identifier": "E869",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114077",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Mack Bankhead, DR
• Blue Marble Mobility, LLC
• William Collier Box, MD
• Megan Boyett, PHARM D
• Carehere LLC

• Family Medicine Physician in Sulligent, AL
• Providers in Sulligent, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.