Taylor Leona Banks, PA-C
Individual provider Active NPI Physician Assistant · Sevierville, TN
NPI 1295599728 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1295599728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5868 (TN)
- Practice address
- 1108 Fox Meadows Blvd Ste 1
Sevierville, TN 37862-6939 - Phone
- (865) 366-1581
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leconte Orthopedics, PLLC
Practice addresses (Care Compare)
1108 Fox Meadows Blvd
Suite 1
Sevierville, TN 37862-6939
Phone (865) 366-1581
Hospital & facility affiliations
- Leconte Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240327002905 | TN | Practitioner - Physician Assistant | 9335586213 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5868 | TN | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5868 | TN | Yes |
Addresses
Primary practice location
1108 Fox Meadows Blvd Ste 1
Sevierville, TN 37862-6939
Mailing address
1108 Fox Meadows Blvd Ste 1
Sevierville, TN 37862-6939
Phone (865) 366-1581
Other providers in Sevierville, TN
- Amanda Hurst Ayers
- Jennifer Ayers
- Joseph Blake Ayers
- Megan Bailey
- Alexis Conner Bakos
- Laura Jo Barber
- Erica Jade Barnard
- Peggy Diane Barnett
- Ashley Barrett
- Sarah Barrett
All providers in Sevierville, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. 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.