BALANCED ENERGY WELLNESS, LLC — NPI 1487161766 (Licensed & Credentialed Acupuncturist in PEACHTREE CITY, GA)

CMS-1500 Box 24J / 33a • NPI

1487161766

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171100000X

Licensed & Credentialed Acupuncturist

Box 32 Service Location & ZIP+4

259 HIGHWAY 74 N STE 2, PEACHTREE CITY, GA, 30269-3562

✓ 9-Digit EDI 837 ZIP+4 (30269-3562)

Practice Phone & Referral Fax

(678) 871-9642

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487161766 (BALANCED ENERGY WELLNESS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487161766` (NPI-2 Organization / Facility)
Provider / Legal Name	BALANCED ENERGY WELLNESS, LLC
Plain-English Specialty	Licensed & Credentialed Acupuncturist NUCC Code: `171100000X` (Acupuncturist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	259 HIGHWAY 74 N STE 2, PEACHTREE CITY, GA, 30269-3562
Practice Telephone / Fax	Tel: (678) 871-9642
Administrative Mailing Address	457 CASTLEWOOD RD, TYRONE, GA, 30290-2012
Enumeration & Last Sync	Enumerated: 2018-01-08 \| CMS Record Updated: 2018-01-08
Authorized Official	VIRGINIA WHITTLESEY (Owner, Licensed Acupuncturist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

259 HIGHWAY 74 N STE 2, PEACHTREE CITY, GA, 30269-3562

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Plain-English Taxonomy & CMS Crosswalk (171100000X)

What Does Taxonomy Code 171100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171100000X translates to:
"Licensed & Credentialed Acupuncturist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Acupuncturist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BALANCED ENERGY WELLNESS, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171100000X` — Acupuncturist Plain English: Licensed & Credentialed Acupuncturist	State: GA \| License: `353` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BALANCED ENERGY WELLNESS, LLC (NPI #1487161766)