Active NPI
Christina Banks, PA-C
- Physician Assistant
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 851 Leonard Fulghum Dr
Mount Pleasant, SC 29464-3793 - Phone
- (843) 971-9350
- NPI assigned
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-132011 | AL | |
| Physician Assistant | 363A00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
851 Leonard Fulghum Dr
Mount Pleasant, SC 29464-3793
Mailing address
851 Leonard Fulghum Dr
Mount Pleasant, SC 29464-3793
Phone (843) 971-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 881-0100
851 Leonard Fulghum Dr
Mt Pleasant, SC 29464-3793
Hospital & facility affiliations
- Novant Health East Cooper Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.63 of 100
- Quality
- 80.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2728 | SC | MD | Chiropractor |
| 1-132011 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| Jason D. Cobb, MD, LLC | Past | Accepting new patients | |
| East Cooper Physician Group LLC | Past | Accepting new patients |
Locations
7 S Alliance Dr
Ste 111B
Goose Creek, SC 29445
Phone (843) 971-9350
851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133
3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262
Interoperability endpoints
- christina.banks.1@30548.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Daniel Island, SC
- NPI 1861253981
-
- Surgery Physician
- Mt Pleasant, SC
- NPI 1285495234
-
- Body Imaging Physician
- Mt Pleasant, SC
- NPI 1699641571
-
- Internal Medicine Physician
- Summerville, SC
- NPI 1982475604
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1639576887
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1861817678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 LEONARD FULGHUM DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643793",
"telephone_number": "843-971-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 LEONARD FULGHUM DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643793",
"telephone_number": "843-971-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "CHRISTINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-03",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-132011",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.