Organization Active NPI

Balanced Life Health Care Solutions LLC

  • Primary Care Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1730618265
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BALANCED LIFE HEALTH CARE SOLUTIONS LLC
Practice address
555 Old Norcross Rd Ste 250
Lawrenceville, GA 30046-8703
Phone
(770) 696-4541
Fax
(770) 271-9787
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Dr. Tonita Washington, DNP, FNP-BCNPI 1306162797
Title
FNP/Provider Manager
Phone
(770) 331-6475

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X GA

Addresses

Primary practice location

555 Old Norcross Rd Ste 250
Lawrenceville, GA 30046-8703

Mailing address

555 Old Norcross Rd Ste 250
Lawrenceville, GA 30046-8703
Phone (770) 696-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180122001918 GA Part B Supplier - Clinic/Group Practice 7911266853 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

1846 Old Norcross Rd
Lawrenceville, GA 30044

555 Old Norcross Rd
Ste 250
Lawrenceville, GA 30046
Phone (678) 360-0150

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1730618265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OLD NORCROSS RD STE 250",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468703",
            "telephone_number": "770-696-4541",
            "fax_number": "770-271-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OLD NORCROSS RD STE 250",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468703",
            "telephone_number": "770-696-4541",
            "fax_number": "770-271-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE HEALTH CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TONITA",
        "authorized_official_title_or_position": "FNP/PROVIDER MANAGER",
        "authorized_official_telephone_number": "770-331-6475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.