Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justine Lynn Balasubramanian, PA-C

Individual provider Physician Assistant · NPI 1487282133

Justine Lynn Balasubramanian, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
6
Licensed in
NC, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-5021
Phone: (336) 716-9252
Fax: (336) 716-0030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2044 State Route 32 Ste 4, Modena, NY 12548-5021 — (845) 883-5176
  • 7658 Clover Rd, North Syracuse, NY 13212-1807 — (315) 530-3223

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15522 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 025636 (NY)

Record details

NPI number1487282133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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