Individual provider Active NPI

Rachel Renee Banks, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1780713230
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200701657 Issued in NC
Practice address
13460 Plaza Road Ext Ste 100
Charlotte, NC 28215-8923
Phone
(704) 316-4990
Fax
(704) 316-4998
NPI assigned
Mar 2, 2007
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200701657 NC Primary

Addresses

Primary practice location

13460 Plaza Road Ext Ste 100
Charlotte, NC 28215-8923

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

251 Eastway Dr
Charlotte, NC 28213-7103
Phone (704) 446-9991

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbanks664465@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080808000724 NC Practitioner - Family Practice 6709950785 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200701657NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Dec 17, 2018 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Dec 17, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 17, 2018 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients

Locations

13523 Plaza Road Ext
Charlotte, NC 28215
Phone (704) 316-4990

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

Interoperability endpoints

  • Direct secure messaging: rbanks664465@direct.novanthealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1780713230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 PLAZA ROAD EXT STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158923",
            "telephone_number": "704-316-4990",
            "fax_number": "704-316-4998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Eastway Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282137103",
            "country_code": "US",
            "telephone_number": "704-446-9991",
            "fax_number": "704-921-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "RACHEL",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-10-20",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200701657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbanks664465@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "251 Eastway Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282137103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.