What is Tosha Balfour's NPI number?

Tosha Balfour's National Provider Identifier (NPI) is 1184608838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tosha Balfour's specialty?

Tosha Balfour is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Tosha Balfour located?

Tosha Balfour's practice location on file with NPPES is 2675 N Decatur Rd, Decatur, GA 30033.

What is Tosha Balfour's phone number?

The practice phone number listed in the NPPES registry for Tosha Balfour is (404) 501-6925.

Does Tosha Balfour accept Medicare?

Tosha Balfour is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Tosha Balfour's NPI active?

Yes — Tosha Balfour's NPI (1184608838) is active in the NPPES registry as of the last update on 2007-11-16.

IndividualActiveAccepts Medicare

Tosha Balfour, MD

NPI 1184608838 · Specialist · Decatur, GA

Tosha Balfour, MD is a Specialist provider in Decatur, GA (NPI 1184608838).

Provider details

NPI number: 1184608838
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: MD
Sex: Female
Sole proprietor: No
License: 048205 (GA)

Practice location

2675 N Decatur Rd

Suite G 03

Decatur, GA 30033

Phone: (404) 501-6925

Fax: (404) 501-6930

Street-level locationGet directions

More GA providers

Mailing address

Po Box 98446

Atlanta, GA 30359

Specialties & taxonomies

SpecialistPrimary174400000XLicense 048205 (GA)
Other Service Providers

Enrolled with Medicare as Practitioner - Radiation Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
20 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	32	$95
New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205	11	$177

Typical Medicare-allowed amounts for these services range $95–$177 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Enumerated: 2005-12-05
Last updated: 2007-11-16

Frequently asked questions

What is Tosha Balfour's NPI number?: Tosha Balfour's National Provider Identifier (NPI) is 1184608838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Tosha Balfour's specialty?: Tosha Balfour is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
Where is Tosha Balfour located?: Tosha Balfour's practice location on file with NPPES is 2675 N Decatur Rd, Decatur, GA 30033.
What is Tosha Balfour's phone number?: The practice phone number listed in the NPPES registry for Tosha Balfour is (404) 501-6925.
Does Tosha Balfour accept Medicare?: Tosha Balfour is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Tosha Balfour's NPI active?: Yes — Tosha Balfour's NPI (1184608838) is active in the NPPES registry as of the last update on 2007-11-16.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Frequently asked questions

Profile Score

What this provider does (Medicare)