P Praxis·MD
● Active Type 1 · Individual

Raytillia R. Balam, MASTER BARBER & COSM

Specialist·Brunswick, GA· NPI 1477929933 · Enumerated 2015 · 10 years on NPI
Balam is 1 of 1 specialist providers in Brunswick and 1 of 250 in Georgia.
NPI age
10 years
Enumerated 2015-08-18
Primary specialty
Specialist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-02-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 250 active specialist providers in Georgia.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-08Enumerated in NPPES
2015 2026

Where they practice

Practice location
299 Water Crest Dr
Brunswick, GA 315236108
📞 9122909898
Mailing address
299 Water Crest Dr
Brunswick, GA 315236108
📞 9122909898

Specialties

  • Specialist Primary
    A case manager who provides services for patients with prosthetics.
    GA license #CO126396 taxonomy 1744P3200X
  • Reflexologist
    Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes within the reflex maps of the body located on the feet, hands, and outer ears....
    GA license #CO126396 taxonomy 173C00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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