NPIMap

Individual provider Active NPI

Josh A. Balsly, PA-C

  • Medical Physician Assistant
  • Benson, NC
National Provider Identifier
1629201280
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-01877 Issued in NC
Practice address
1 Medical Dr
Benson, NC 27504-1177
Phone
(919) 894-1740
Fax
(919) 894-2701
NPI assigned
Aug 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-01877 NC Primary
Surgical Physician Assistant 363AS0400X 0010-01877 NC
Physician Assistant 363A00000X

Addresses

Primary practice location

1 Medical Dr
Benson, NC 27504-1177

Mailing address

1513 Essexwood Dr
Fuquay Varina, NC 27526-5374
Phone (919) 285-4936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000641 NC Practitioner - Physician Assistant 0840338794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Spine and Pain Center, P.a.Group PAC ID 8527116680, 10 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, 496 clinicians

Practice addresses (Care Compare)

1 Medical Dr
Benson, NC 27504-1177
Phone (919) 894-1740

1004 Procure Dr
Fuquay Varina, NC 27526-2620
Phone (919) 894-1740

204 Medspring Dr
Suite 100
Clayton, NC 27520-9293
Phone (919) 359-8643

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635

Hospital & facility affiliations

  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-01877NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Center, P.a. CurrentSince Nov 1, 2010 Accepting new patients

Locations

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

204 Medspring Dr
#100
Clayton, NC 27520
Phone (919) 359-8643

1004 Procure St
Fuquay Varina, NC 27526
Phone (910) 624-7067

Organizations & group practices 9

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1629201280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 ESSEXWOOD DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265374",
            "telephone_number": "919-285-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041177",
            "telephone_number": "919-894-1740",
            "fax_number": "919-894-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSLY",
        "first_name": "JOSH",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01877",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-01877",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.