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

Marissa Nicolle Balkcom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184374407

Marissa Nicolle Balkcom, MD is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone: (404) 712-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184374407
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJune 21, 2025
Certification dateJune 21, 2025
Mailing address3070 Briarcliff Rd Ne Apt 2315, Atlanta, GA 30329-2759

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