Active NPI
Mitchel Davis Banks, MD
- Internal Medicine Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 92039
- Practice address
- 2701 N Decatur Rd
Decatur, GA 30033-5918 - Phone
- (404) 501-1000
- NPI assigned
- Mar 17, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 92039 | GA | Primary |
Addresses
Primary practice location
2701 N Decatur Rd
Decatur, GA 30033-5918
Mailing address
786 Grant St SE
Atlanta, GA 30315-1460
Phone (706) 495-4819
Other practice location 1
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-7777
Other practice location 2
49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone (404) 778-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
Hospital & facility affiliations
- Emory Decatur Hospital
- John H Stroger Jr Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92039 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Internal Medicine | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Dekalb Medical Center, Inc. | Past | Accepting new patients | |
| Dekalb Medical Psych Unit | Past | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Internal Medicine
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Psychiatric Hospital Unit
- Decatur, GA
- NPI 1821099474
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1154880417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 GRANT ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151460",
"telephone_number": "706-495-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-1000"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221059",
"country_code": "US",
"telephone_number": "404-778-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033049",
"country_code": "US",
"telephone_number": "404-778-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANKS",
"first_name": "MITCHEL",
"middle_name": "DAVIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-17",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "92039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.