Individual provider Active NPI

Leah Ashley Balch, AGPCNP

  • Gerontology Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1225451925
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
18140 Issued in TN
Practice address
1406 Tusculum Blvd Ste 1200
Greeneville, TN 37745-4341
Phone
(423) 787-6370
Fax
(423) 787-6371
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 18140 TN
Gerontology Nurse Practitioner 363LG0600X 18140 TN Primary

Addresses

Primary practice location

1406 Tusculum Blvd Ste 1200
Greeneville, TN 37745-4341

Mailing address

509 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2579
Phone (423) 302-6565

Other practice location 1

438 E Vann Rd
Suite 202
Greeneville, TN 37743-7202
Phone (423) 278-1703

Other identifiers 1

IdentifierTypeStateIssuer
6010370OtherTNBCBST

Other names 1

  • Leah Ashley Simms Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140507002000 TN Practitioner - Nurse Practitioner 4587897053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Takoma Regional Hospital IncGroup PAC ID 8729189295, 28 clinicians

Practice addresses (Care Compare)

1406 Tusculum Blvd
Greeneville, TN 37745-4341

438 E Vann Rd
Greeneville, TN 37743-7202

Hospital & facility affiliations

  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Hawkins County Memorial Hospital Hospital, Rogersville, TN, CCN 440032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18140TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Takoma Regional Hospital Inc CurrentSince Mar 1, 2014 Accepting new patients
Takoma Regional Hospital, Inc CurrentSince Mar 1, 2014 Accepting new patients

Locations

1406 Tusculum Blvd
Ste 1200
Greeneville, TN 37745
Phone (423) 783-5520

438 E Vann Rd
Ste 202
Greeneville, TN 37743
Phone (423) 278-1703

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1225451925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MED TECH PKWY STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042579",
            "telephone_number": "423-302-6565",
            "fax_number": "423-952-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD STE 1200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454341",
            "telephone_number": "423-787-6370",
            "fax_number": "423-787-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 E Vann Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-278-1703",
            "fax_number": "423-278-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALCH",
        "first_name": "LEAH",
        "middle_name": "ASHLEY",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "18140",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "18140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "6010370",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "SIMMS",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.