Joe Mack Bankhead, DR

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

20283 Issued in AL

Practice address

7199 Beaver Creek Rd
Sulligent, AL 35586-4603

Phone

(205) 698-0553

NPI assigned

Nov 26, 2018

Last updated

Nov 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Joe Mack Bvankhead Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1194295832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 BEAVER CREEK RD",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355864603",
            "telephone_number": "205-698-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 BEAVER CREEK RD",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355864603",
            "telephone_number": "205-698-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKHEAD",
        "first_name": "JOE",
        "middle_name": "MACK",
        "name_prefix": "Dr.",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "AL",
            "license": "20283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20283",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "BVANKHEAD",
            "middle_name": "MACK",
            "prefix": "DR.",
            "credential": "DR JOE MACK BANKHEAD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pastoral Counselor in Sulligent, AL
• Providers in Sulligent, AL by specialty
• Pastoral Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.