NPIMap

Organization Active NPI

Inner Balance LLC

  • Psychiatry Physician
  • Cairo, GA
National Provider Identifier
1508606963
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNER BALANCE LLC
Practice address
281 Pierce Chapel Rd
Cairo, GA 39828-6766
Phone
(229) 350-6455
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Audra D Davis, NPNPI 1740653781
Title
Pmhnp-BC
Phone
(229) 350-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

281 Pierce Chapel Rd
Cairo, GA 39828-6766

Mailing address

281 Pierce Chapel Rd
Cairo, GA 39828-6766
Phone (229) 350-6455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1508606963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 PIERCE CHAPEL RD",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398286766",
            "telephone_number": "229-350-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 PIERCE CHAPEL RD",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398286766",
            "telephone_number": "229-350-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "229-350-6455",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.