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

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (313 clinicians)

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 Home health agency · Roswell, GA · CCN 117131
  • Northside Hospital Hospital · Atlanta, GA · CCN 110161
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital · Atlanta, GA · CCN 110082
  • Northside Hospital Cherokee Hospital · Canton, GA · CCN 110008
  • Northside Hospital Forsyth Hospital · Cumming, GA · CCN 110005
  • Piedmont Hospital, Inc Hospital · Atlanta, GA · CCN 110083
  • Wellstar Windy Hill Hospital Long-term care hospital · Marietta, GA · CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100 (individual)
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 IDStateProvider typePAC IDDetails
I20050513000462 GA Practitioner - Internal Medicine 2769429836 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC Current
since Oct 1, 2012
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

  • Direct secure messaging: sandra.banks@pcpatl.gwaydirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003129261AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2017.

{
    "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

All providers in Atlanta, GA · Internal Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.