Individual provider Active NPI

Sabina Daxes Banit

  • Optometrist
  • Athens, GA
National Provider Identifier
1851158232
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003596 Issued in GA
Practice address
105 Trinity PL
Athens, GA 30607-2112
Phone
(706) 549-9993
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003596 GA Primary

Addresses

Primary practice location

105 Trinity PL
Athens, GA 30607-2112

Mailing address

261 Overcup CT
Athens, GA 30606-0889
Phone (478) 319-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001059 GA Practitioner - Optometry 2961936448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keller, Crymes, and Demarco LLCGroup PAC ID 3971591132, 10 clinicians

Practice addresses (Care Compare)

105 Trinity PL
Athens, GA 30607-2112
Phone (706) 549-9993

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keller, Crymes, & Demarco LLC CurrentSince Aug 30, 2024 Accepting new patients
Keller Crymes & Demarco LLC CurrentSince Aug 30, 2024 Accepting new patients

Locations

105 Trinity Pl
Athens, GA 30607
Phone (706) 433-2035

13375 Jones St
Ste B2
Lavonia, GA 30553
Phone (706) 356-0206

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1851158232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OVERCUP CT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306060889",
            "telephone_number": "478-319-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIT",
        "first_name": "SABINA",
        "middle_name": "DAXES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.