Individual provider Active NPI

Hyneef Banks, B.S., PTA

  • Physical Therapy Assistant
  • Hapeville, GA
National Provider Identifier
1265027130
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA004629 Issued in GA
Practice address
771 Virginia Ave
Hapeville, GA 30354-1911
Phone
(404) 843-3323
Fax
(404) 574-5944
NPI assigned
Mar 3, 2021
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA004629 GA Primary

Addresses

Primary practice location

771 Virginia Ave
Hapeville, GA 30354-1911

Mailing address

771 Virginia Ave
Hapeville, GA 30354-1911

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PTA004629GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Spine & Pain Physicians, Inc CurrentSince May 3, 2021 Accepting new patients
Peachtree Spine & Pain Physicians, Inc PastSince Mar 7, 2021 Accepting new patients

Locations

771 Virginia Ave
Hapeville, GA 30354

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1265027130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 VIRGINIA AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 VIRGINIA AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541911",
            "telephone_number": "404-843-3323",
            "fax_number": "404-574-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "HYNEEF",
        "name_prefix": "Mr.",
        "credential": "B.S., PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hapeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.