Individual provider Active NPI

James H Bankston, MD

  • Urology Physician
  • Alexander City, AL
National Provider Identifier
1346355716
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
6380 Issued in AL
Practice address
125 Alison Dr Ste 3
Alexander City, AL 35010-4410
Phone
(256) 329-8459
Fax
(256) 329-3337
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 081717 GA
Urology Physician 208800000X 6380 AL Primary

Addresses

Primary practice location

125 Alison Dr Ste 3
Alexander City, AL 35010-4410

Mailing address

125 Alison Dr Ste 3
Alexander City, AL 35010-4410
Phone (256) 329-8459

Other practice location 1

380 Hospital Drive Bldg A Ste 320
Macon, GA 31217-4410
Phone (478) 742-5331

Other identifiers 2

IdentifierTypeStateIssuer
510-00262OtherALBCBS
000000262MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000583 AL Practitioner - Urology 5890790349 Reassigns benefits to 1 organization
Practice locations: Alexander City, AL; Tallassee, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
081717GAMDUrology Physician
6380ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Clinic LLC Urology CurrentSince Jul 30, 2019 Accepting new patients
Oral & Facial Surgery of Al, PC Past Accepting new patients

Locations

4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1346355716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALISON DR STE 3",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104410",
            "telephone_number": "256-329-8459",
            "fax_number": "256-329-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALISON DR STE 3",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104410",
            "telephone_number": "256-329-8459",
            "fax_number": "256-329-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Hospital Drive Bldg A Ste 320",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312174410",
            "country_code": "US",
            "telephone_number": "478-742-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "081717",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "6380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-00262",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000262",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.