Sandra K Banks, M.D.
Individual provider Active NPI Internal Medicine Physician · Atlanta, GA
NPI 1235140286 · NPPES record last updated Jan 30, 2017
Key facts
- NPI
- 1235140286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 048330 (GA)
- Practice address
- 5670 Peachtree Dunwoody Rd NE
Suite 1200
Atlanta, GA 30342-1699 - Phone
- (404) 255-9100
- Fax
- (404) 257-7171
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northside Primary Care Professional Services,LLC
Practice addresses (Care Compare)
5670 Peachtree-Dunwoody Rd NE
Suite 1200
Atlanta, GA 30342-4791
Phone (404) 255-9100
Hospital & facility affiliations
- Accentcare Home Health of Georgia
- Northside Hospital
- Saint Joseph'S Hospital of Atlanta, Inc
- Northside Hospital Cherokee
- Northside Hospital Forsyth
- Piedmont Hospital, Inc
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 77.82
- Promoting interoperability
- 82
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050513000462 | GA | Practitioner - Internal Medicine | 2769429836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services, LLC | Current |
Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients |
Locations
1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587
5670 Peachtree Dunwoody Rd
Ste 1200
Sandy Springs, GA 30342
Phone (404) 255-9100
3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
Interoperability endpoints
- sandra.banks@pcpatl.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 048330 | GA | Yes |
Addresses
Primary practice location
5670 Peachtree Dunwoody Rd NE
Suite 1200
Atlanta, GA 30342-1699
Mailing address
5670 Peachtree Dunwoody Rd NE
Suite 1200
Atlanta, GA 30342-1699
Phone (404) 255-9100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003129261A | Medicaid | GA |
NPI Registry JSON
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1235140286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 1200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421699",
"telephone_number": "404-255-9100",
"fax_number": "404-257-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 1200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421699",
"telephone_number": "404-255-9100",
"fax_number": "404-257-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "SANDRA",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "048330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003129261A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Katrina Banks
- Melanie Banks
- Morgan Banks
- Nicole Alicia Banks
- Roslyn Abrams Banks
- Sonja Banks
- Tamara Banks
- Shelley Marie Bankston
- Robert Alan Bannan
- Lucas Bannister
All providers in Atlanta, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.