Individual provider Active NPI

Anna Lee Banister, ANP-BC

  • Adult Health Nurse Practitioner
  • Rincon, GA
National Provider Identifier
1104123371
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN144607 Issued in GA
Practice address
800 Towne Park Dr
Rincon, GA 31326-5156
Phone
(912) 826-0052
Fax
(912) 826-4726
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN144607 GA Primary

Addresses

Primary practice location

800 Towne Park Dr
Rincon, GA 31326-5156

Mailing address

PO Box 386
1259 Hyw 119S
Springfield, GA 31329-0386
Phone (912) 754-6451

Other practice location 1

1451 GA Hyw 21 South
Ste H
Springfield, GA 31329
Phone (912) 754-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000238 GA Practitioner - Nurse Practitioner 7618155763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Hospital IncGroup PAC ID 1254628092, 14 clinicians

Practice addresses (Care Compare)

100 Goshen Rd
Rincon, GA 31326-5744
Phone (912) 826-6000

110 Goshen Rd
Rincon, GA 31326-5744
Phone (912) 826-5239

Hospital & facility affiliations

  • Effingham Health System Hospital, Springfield, GA, CCN 111306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Hospital, Inc. CurrentSince Dec 4, 2016 Accepting new patients
Effingham Hospital, Inc. CurrentSince Dec 4, 2016 Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients

Locations

3 Hidden Creek Dr
Guyton, GA 31312
Phone (912) 772-8620

7306 State Highway 21
Ste 105
Port Wentworth, GA 31407
Phone (912) 826-1500

100 Goshen Rd
Rincon, GA 31326
Phone (912) 826-6000

800 Towne Park Dr
Ste 100
Rincon, GA 31326
Phone (912) 826-0052

520 W 3rd St
Springfield, GA 31329
Phone (912) 826-7337

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1451 Highway 21 S
Ste H
Springfield, GA 31329
Phone (912) 754-1035

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/effingh-036d928f

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104123371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "address_2": "1259 HYW 119S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313290386",
            "telephone_number": "912-754-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TOWNE PARK DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265156",
            "telephone_number": "912-826-0052",
            "fax_number": "912-826-4726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 GA Hyw 21 South",
            "address_2": "Ste H",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "31329",
            "country_code": "US",
            "telephone_number": "912-754-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANISTER",
        "first_name": "ANNA",
        "middle_name": "LEE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN144607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.