Darla Balas, N.P.
NPI 1912357096 · Nurse Practitioner · Lake Spivey, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Darla Balas, N.P. is a Nurse Practitioner provider in Lake Spivey, GA (NPI 1912357096).
Provider details
- NPI number
- 1912357096
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- RN228938 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
180 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 | 77 | $79 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 40 | $79 |
| Pelvic Exam99459 | 38 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $53 |
Typical Medicare-allowed amounts for these services range $17–$79 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Abiraterone Acetate | 89 | 20 |
| Anastrozole | 64 | 27 |
| Prednisone | 53 | 18 |
| Gabapentin | 25 | 12 |
| Lorazepam | 18 | 15 |
| Dexamethasone | 17 | 12 |
| Oxybutynin Chloride | 17 | — |
| Olanzapine | 17 |
Practice location
Mailing address
Additional practice locations (2)
- 400 Hobart StCadillac, MI 49601-2331Phone: (231) 876-6421Fax: (231) 876-6430
- 217 S Madison StTraverse City, MI 49684-2321Phone: (231) 392-8400Fax: (231) 392-8467
Registry dates
- Enumerated
- 2016-06-20
- Last updated
- 2022-11-11
- Certified
- 2022-11-11
Frequently asked questions
- What is Darla Balas's NPI number?
- Darla Balas's National Provider Identifier (NPI) is 1912357096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darla Balas's specialty?
- Darla Balas is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Darla Balas located?
- Darla Balas's practice location on file with NPPES is 7813 Spivey Station Blvd, Lake Spivey, GA 30236-2900.
- What is Darla Balas's phone number?
- The practice phone number listed in the NPPES registry for Darla Balas is (770) 507-0070.
- Does Darla Balas accept Medicare?
- Darla Balas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Darla Balas's NPI active?
- Yes — Darla Balas's NPI (1912357096) is active in the NPPES registry as of the last update on 2022-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.