Balanced Medical Center PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BALANCED MEDICAL CENTER PLLC

Practice address

501 W Oakland Ave Ste 3
Johnson City, TN 37604-1667

Phone

(423) 283-1300

Fax

(423) 283-1306

NPI assigned

Jul 12, 2019

Last updated

Apr 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel F Messimer, DCNPI 1801807698

Title

Owner

Phone

(423) 283-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Samuel F Messimer, DC

  • Sports Physician Chiropractor
  • Johnson City, TN
  • NPI 1801807698
  Medicare reassignment Care Compare group NPD Authorized official
• Jamie Russell, APRN, FNP-BC

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1578015137
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1952953648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OAKLAND AVE STE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041667",
            "telephone_number": "423-283-1300",
            "fax_number": "423-283-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W OAKLAND AVE STE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041667",
            "telephone_number": "423-283-1300",
            "fax_number": "423-283-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "MESSIMER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-283-1300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Baker, MD
• Everett Vincent Baker, NURSE PRACTITIONER
• James L Baker, M.D.
• Morgan Baker, PT, DPT
• Skyler Drew Baker
• Kais A Balbissi, MD
• Harper Alexis Baldwin, DO
• Jakob Jordan Ball, DO
• Patricia Ann Ball, RN
• Karen Suzanne Ballard, D.O.

• General Practice Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.