Individual provider Active NPI

Holli Nicole Banks-Giles, M.D.

  • Internal Medicine Physician
  • West Memphis, AR
National Provider Identifier
1689644478
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E3950 Issued in AR
Practice address
215 E Bond Ave
West Memphis, AR 72301-3550
Phone
(870) 735-3842
NPI assigned
Jan 24, 2006
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E3950 AR Primary

Addresses

Primary practice location

215 E Bond Ave
West Memphis, AR 72301-3550

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3842

Other identifiers 1

IdentifierTypeStateIssuer
158298001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20041111001118 AR Practitioner - Internal Medicine 9335103142 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Arkansas Family Health Center, IncGroup PAC ID 1052390390, shared by 12 NPIs, 30 clinicians

Practice addresses (Care Compare)

1008 W Main St
Marvell, AR 72366-9486
Phone (870) 735-3842

2000 W Broadway St
TRLR 1
West Memphis, AR 72301-3829
Phone (870) 733-6083

216 Arkansas St
Earle, AR 72331-2217
Phone (870) 792-7676

417 W Main St
Trumann, AR 72472-3116
Phone (870) 483-1025

513 Porter St
Helena, AR 72342-3217
Phone (870) 817-0122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3950ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center, Inc CurrentSince Aug 17, 2017 Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Nov 1, 2019 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Jun 25, 2007 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Nov 1, 2019 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Mar 22, 2011 Accepting new patients
East Arkansas Family Health Center Inc. Current Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Nov 1, 2019 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Mar 22, 2011 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Jimmerson Family Health Care P.a. Past Accepting new patients

Locations

605 N 2nd St
Blytheville, AR 72315
Phone (870) 532-6001

216 Arkansas St
Earle, AR 72331
Phone (870) 792-7676

513 Porter St
Helena, AR 72342
Phone (870) 817-0122

102 W Broad St
Lepanto, AR 72354
Phone (870) 475-2977

1 Patriot Dr
Marion, AR 72364
Phone (870) 739-5137

1008 W Main St
Marvell, AR 72366
Phone (870) 735-3842

417 W Main St
Trumann, AR 72472
Phone (870) 483-1025

417 W Main St
#B
Trumann, AR 72472
Phone (870) 483-7039

2000 W Broadway St
Trlr 1
West Memphis, AR 72301
Phone (870) 733-6083

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

Interoperability endpoints

  • Direct secure messaging: holli.banksgiles@eastarkan.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/21757/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1689644478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013550",
            "telephone_number": "870-735-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS-GILES",
        "first_name": "HOLLI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E3950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158298001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.