Active NPI
Anna Lee Banister, ANP-BC
- Adult Health Nurse Practitioner
- Rincon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN144607
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Effingham Hospital, Inc. | Current | Accepting new patients | |
| Effingham Hospital, Inc. | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Skilled Nursing Facility
- Springfield, GA
- NPI 1033184437
-
- Rural Health Clinic/Center
- Guyton, GA
- NPI 1164651022
-
- Rural Health Clinic/Center
- Rincon, GA
- NPI 1811020407
-
- Community/Retail Pharmacy
- Springfield, GA
- NPI 1245867688
-
- Rural Health Clinic/Center
- Springfield, GA
- NPI 1750686382
-
- Otolaryngology Physician
- Springfield, GA
- NPI 1881588028
-
- Occupational Medicine Physician
- Port Wentworth, GA
- NPI 1245668417
-
- Pediatrics Physician
- Springfield, GA
- NPI 1770259236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.