Individual provider Active NPI

Roslyn C Banks-Jackson, MD

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1134112618
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME180168 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-0410
Fax
(407) 303-0417
NPI assigned
Aug 30, 2005
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 051865 GA
Obstetrics & Gynecology Physician 207V00000X ME180168 FL Primary
Obstetrics & Gynecology Physician 207V00000X 036121554 IL

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-0410

Other names 1

  • Roslyn C Banks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, GA, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060207000302 NC Practitioner - Obstetrics/Gynecology 0547275976 Reassigns benefits to 2 organizations
I20081110000577 IL Practitioner - Obstetrics/Gynecology 0547275976 Reassigns benefits to 1 organization
I20101201000734 GA Practitioner - Obstetrics/Gynecology 0547275976 Reassigns benefits to 3 organizations
I20260615001342 FL Practitioner - Obstetrics/Gynecology 0547275976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Georgia, P.C.Group PAC ID 9032383583, 34 clinicians

Practice addresses (Care Compare)

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME180168FLMDObstetrics & Gynecology Physician
036121554ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Nov 1, 2025 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Sep 28, 2025 Accepting new patients
United Obstetrics and Gynecology, P.C. Obstetrics & Gynecology CurrentSince Jun 24, 2022 Accepting new patients
Albany OB-GYN LLC CurrentSince Nov 1, 2018 Accepting new patients
DLP Western Carolina Physician Practices LLC Obstetrics & Gynecology CurrentSince May 1, 2016 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Oct 7, 2018 Accepting new patients
Central Dupage Physician Group CurrentSince Nov 1, 2025 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince May 1, 2016 Accepting new patients
Emanuel County Hospital Authority Current Accepting new patients
Womens Center for Advanced Surgery Inc Past Accepting new patients
Dekalb Women's Specialists 2 LLC Obstetrics & Gynecology Past Accepting new patients
Jody L. Kelly M.D. & Associates, LLC PastSince Jul 1, 2004 Accepting new patients
Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc PastSince Aug 3, 2009 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients

Locations

1001 N Monroe St
Albany, GA 31701
Phone (229) 436-7248

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1060 Gaines School Rd
Ste A1
Athens, GA 30605
Phone (706) 353-8053

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

10600 Lochridge Blvd
Covington, GA 30014
Phone (229) 391-3500

221 Shirley Ave
Douglas, GA 31533
Phone (912) 384-8800

130 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 391-3500

514 S Main St
Moultrie, GA 31768

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1806 Lee Ave
Tifton, GA 31794
Phone (229) 382-8822

1948 Old Ocilla Rd
Tifton, GA 31794
Phone (229) 391-3500

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

3316 Greystone Way
Valdosta, GA 31605
Phone (229) 245-1123

1707 Watson Blvd
Ste 301
Warner Robins, GA 31093

409 Uvalda St
Waycross, GA 31501
Phone (229) 391-3500

Dept 5777
Carol Stream, IL 60122

10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

35 Facility Dr
Clyde, NC 28721
Phone (828) 452-5042

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GICJAA
  • Direct secure messaging: roslyn.banksjackson@emc.gadirect.net
  • Direct secure messaging: roslyn.banksjackson@gadirect.net

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1134112618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-0410",
            "fax_number": "478-275-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-0410",
            "fax_number": "407-303-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS-JACKSON",
        "first_name": "ROSLYN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "051865",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME180168",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036121554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSLYN",
            "last_name": "BANKS",
            "middle_name": "C",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.