Active NPI
Alan S Banks, DPM
- Podiatrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 545
- Practice address
- 2295 Parklake Dr NE
Suite 150
Atlanta, GA 30345-2825 - Phone
- (770) 938-5974
- Fax
- (770) 939-7393
- NPI assigned
- Jul 25, 2006
- Last updated
- May 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 545 | GA | Primary |
Addresses
Primary practice location
2295 Parklake Dr NE
Suite 150
Atlanta, GA 30345-2825
Mailing address
4101 Charlotte Ave Ste F185
Nashville, TN 37209-4066
Phone (678) 426-2171
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000356771D | Medicaid | GA | |
| 518114 | Other | AETNA | |
| 048552 | Other | BLUE CROSS | |
| 480018110 | Other | MCR RAILROAD | |
| P00370534 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 545 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Podiatry Group, L.L.C. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group LLC | Podiatrist | Current | Accepting new patients |
| Peachtree Podiatry Group | Podiatrist | Past | Accepting new patients |
Locations
2295 Parklake Dr NE
Ste 150
Atlanta, GA 30345
Phone (770) 938-5974
900 Circle 75 Pkwy SE
Ste 900
Atlanta, GA 30339
Phone (678) 426-2171
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
3655 Howell Ferry Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-8283
3415 Holcomb Bridge Rd
Norcross, GA 30092
Phone (770) 449-1122
1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851
2193 Northlake Pkwy
Bldg 114
Tucker, GA 30084
Phone (770) 938-5974
4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171
Organizations & group practices 3
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.
-
- Podiatrist
- Roswell, GA
- NPI 1508846718
-
- Podiatrist
- Tucker, GA
- NPI 1336311620
-
- Foot & Ankle Surgery Podiatrist
- Covington, GA
- NPI 1942036314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1639191646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 CHARLOTTE AVE STE F185",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094066",
"telephone_number": "678-426-2171",
"fax_number": "615-269-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DR NE",
"address_2": "SUITE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452825",
"telephone_number": "770-938-5974",
"fax_number": "770-939-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "ALAN",
"middle_name": "S",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000356771D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "518114",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "048552",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RAILROAD",
"identifier": "480018110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00370534",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.