NPIMap

Individual provider Active NPI

Matthew Banks, DO

  • Neurology Physician
  • Fayetteville, NC
National Provider Identifier
1659772069
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2019-01508 Issued in NC
Practice address
1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417
Phone
(910) 504-3506
Fax
(910) 504-3507
NPI assigned
Sep 5, 2014
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2019-01508 NC Primary

Addresses

Primary practice location

1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417

Mailing address

1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417
Phone (910) 504-3506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190820002809 NC Practitioner - Neurology 4082942750 Reassigns benefits to 2 organizations
I20240130000248 SC Practitioner - Neurology 4082942750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recon Neurology and PsychiatryGroup PAC ID 3870965924, 20 clinicians

Practice addresses (Care Compare)

1340 Walter Reed Rd
Suite 202
Fayetteville, NC 28304-4451
Phone (910) 504-3506

401 79TH Ave N
Myrtle Beach, SC 29572-4310
Phone (843) 948-1191

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-01508NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Jul 25, 2019 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc Neurology CurrentSince Jul 25, 2019 Accepting new patients
Recon Neurology & Psychiatry Neurology CurrentSince Feb 1, 2023 Accepting new patients
Pinehurst Womens Clinic PA PastSince Jan 1, 2003 Accepting new patients

Locations

1219 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-5000

1340 Walter Reed Rd
Ste 202
Fayetteville, NC 28304
Phone (910) 504-3506

1357 Walter Reed Rd
Ste 101
Fayetteville, NC 28304
Phone (910) 504-3506

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

70 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-4342

401 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 449-7115

8210 Devon Ct
#A
Myrtle Beach, SC 29572
Phone (843) 948-1191

764 Walnut Knoll Ln
Cordova, TN 38018
Phone (901) 756-5565

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCJCD
  • Direct secure messaging: matthew.banks@rnp.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1659772069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044417",
            "telephone_number": "910-504-3506",
            "fax_number": "910-504-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 WALTER REED RD STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044417",
            "telephone_number": "910-504-3506",
            "fax_number": "910-504-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2019-01508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.