Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Rich Balentine III, PA-C

Individual provider Physician Assistant · NPI 1164493268

Mr. John Rich Balentine III, PA-C is a Physician Assistant in Suffolk, Virginia. Qualified in 2002, 24 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
24
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

150 Burnetts Way Ste 100
Suffolk, VA 23434-8168
Phone: (757) 547-5145
Fax: (757) 539-7488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Pickney Boulevard, Beaufort, SC 29902 — (843) 228-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164493268
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2006
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Suffolk