Banner Healthcare Services LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BANNER HEALTHCARE SERVICES LLC

Practice address

1256 Oakbrook Dr
Ste C
Norcross, GA 30093-2247

Phone

(678) 993-3824

Fax

(678) 325-5601

NPI assigned

Jan 23, 2016

Organization subpart

No

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

Authorized official

Name

Foster Jacobs

Title

Owner

Phone

(678) 993-3824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1740647692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 OAKBROOK DR",
            "address_2": "STE C",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932247",
            "telephone_number": "678-993-3824",
            "fax_number": "678-325-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 OAKBROOK DR",
            "address_2": "STE C",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932247",
            "telephone_number": "678-993-3824",
            "fax_number": "678-325-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "FOSTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-993-3824"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nassifatou Bakary
• Junior Baker II
• Ahmad Bakhoum
• Kristen Amber Baldwin, BCBA
• Tequila Olivia Banks, LPC
• Christine Liqun Bao, M.D.
• Ann Bimbola Bariyiga, RN,CPNP-PC
• Nadia Barker
• Christina Barnard, COTA
• Jennifer Katheran Barnes, MA

• Prosthetic/Orthotic Supplier in Norcross, GA
• Providers in Norcross, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.