Garry G Banks MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0062947 Issued in FL

Legal business name

GARRY G BANKS MD PA

Practice address

552 Twin Cities Blvd
Suite a
Niceville, FL 32578-1055

Phone

(850) 678-7676

Fax

(850) 678-8240

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Garry G Banks, MD PANPI 1588631493

Title

President

Phone

(850) 678-7676

Specialties & licenses 1

Addresses

Other names 1

• Garry G Banks MD PA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garry G Banks, MD PA

  • Internal Medicine Physician
  • Niceville, FL
  • NPI 1588631493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1760624704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 TWIN CITIES BLVD",
            "address_2": "SUITE A",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781055",
            "telephone_number": "850-678-7676",
            "fax_number": "850-678-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 TWIN CITIES BLVD",
            "address_2": "SUITE A",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781055",
            "telephone_number": "850-678-7676",
            "fax_number": "850-678-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY G BANKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-678-7676",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0062947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garry G Banks MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Thompson Gagnon, D.M.D.
• Jose Leon Garcia-Rios, M.D.
• Jacob C Garcia, LCSW
• Bianca Elisa Gardner, DMD
• Michael Gargas, PHARMD
• Stephany Eloisa Gaubeca Deveault, RBT
• Alyssa Marie Gavulic Howk, PHD, LMHC-S, LMFT-S
• Teresa Gee
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC

• Internal Medicine Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.