Active NPI
Terry Marie Banks, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Fayetteville, GA
National Provider Identifier
1144553561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 048206
- Practice address
- 160 Wendolyn Trce
Fayetteville, GA 30215-7714 - Phone
- (770) 719-3318
- NPI assigned
- Sep 16, 2009
- Last updated
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 048206 | GA | Primary |
Addresses
Primary practice location
160 Wendolyn Trce
Fayetteville, GA 30215-7714
Mailing address
160 Wendolyn Trce
Fayetteville, GA 30215-7714
Phone (770) 719-3318
Other names 1
- Miss Terry Marie Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048206 | GA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1144553561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WENDOLYN TRCE",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302157714",
"telephone_number": "770-719-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WENDOLYN TRCE",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302157714",
"telephone_number": "770-719-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "TERRY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "GA",
"license": "048206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRY",
"last_name": "WILLIAMS",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.