Lee Balos, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN108726 Issued in GA

Practice address

3950 Austell Rd
Austell, GA 30106

Phone

(770) 732-3649

Fax

(770) 732-3648

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cobb Anesthesia, PC

  • Anesthesiologist Assistant
  • Austell, GA
  • NPI 1811944705

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Newnan Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1033300298
  NPD (past)
• TMC-West Georgia Anesthesia Associates Inc.

  • Anesthesiology Physician
  • Carrollton, GA
  • NPI 1740252022

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1871556464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681002",
            "telephone_number": "770-732-3649",
            "fax_number": "770-732-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-732-3649",
            "fax_number": "770-732-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOS",
        "first_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN108726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000888324B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenya Baker
• Sarah Cosci Baker, M.C.D.
• Hamid Harrison Bakhtiary, M.D.
• Joyce Nibaten Balawon
• Tonya Renee Baldwin
• Uno Barcelli, MD
• Devon W. Barkley Sr., ADVANCE EMT, FIREFIG
• Michele Diane Barnes, PHARMD
• Bridget Ann Barrett, SLP
• Cheurpruoscheinia Barrett, RN

• Certified Registered Nurse Anesthetist in Austell, GA
• Providers in Austell, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.