Jeffrey E Banham, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22959 Issued in TN

Practice address

2589 Appling Rd Ste 101
Memphis, TN 38133-5099

Phone

(901) 752-2300

Fax

(901) 249-8871

NPI assigned

Aug 7, 2017

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbanham26890@mlh.direct-ci.com

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.

• Hidden Paths, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, TN
  • NPI 1316775323
  Medicare reassignment NPD Authorized official
• Primary Care Group LLC

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1093016651
  Medicare reassignment NPD
• Methodist Healthcare - Memphis Hospitals

  dba MLH Shelby Oaks Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1225723133
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1477078962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 APPLING RD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335099",
            "telephone_number": "901-752-2300",
            "fax_number": "901-249-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANHAM",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack P Bandura, MD
• Mary Bandy
• Priya Banerjee, PHD
• Hoi Bang
• Sahil Singh Bangar
• Sue Banister, M.S.
• Hiral Banker
• Abigail Marie Banko
• Banks Transportation Services
• Aimee Marie Banks, PHARM. D.

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.