Individual provider Active NPI

Monalyn Andres Balote, AGNP-C

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1255174355
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN282620 Issued in GA
Practice address
1200 N Jefferson St Ste B
Albany, GA 31701-2057
Phone
(229) 888-3970
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN282620 GA Primary

Addresses

Primary practice location

1200 N Jefferson St Ste B
Albany, GA 31701-2057

Mailing address

1200 N Jefferson St Ste B
Albany, GA 31701-2057
Phone (229) 888-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20241115002002 GA Practitioner - Nurse Practitioner 7113451980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Ga. Nephrology Clinic, P.C. 9 clinicians

Practice addresses (Care Compare)

1200 N Jefferson St
Albany, GA 31701-2057
Phone (229) 888-3970

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN282620GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ga. Nephrology Clinic, P.C. Specialist CurrentSince Jul 8, 2024 Accepting new patients
Southwest Ga Nephrology Clinic PC Specialist CurrentSince Jul 8, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1200 N Jefferson St
Albany, GA 31701
Phone (229) 888-3970

1200 N Jefferson St
Ste B
Albany, GA 31701
Phone (229) 888-3970

Organizations & group practices 3

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 1

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1255174355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N JEFFERSON ST STE B",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012057",
            "telephone_number": "229-888-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N JEFFERSON ST STE B",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012057",
            "telephone_number": "229-888-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOTE",
        "first_name": "MONALYN",
        "middle_name": "ANDRES",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN282620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.