Thomas G Bannister, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25198 Issued in TN

Practice address

5384 Poplar Ave
Suite 106
Memphis, TN 38119-3609

Phone

(901) 255-3030

Fax

(901) 507-7811

NPI assigned

Aug 24, 2006

Last updated

Jan 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Behavioral Medicine Consultants, PLLC

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1689813057
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1881701985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 POPLAR AVE",
            "address_2": "SUITE 106",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193609",
            "telephone_number": "901-255-3030",
            "fax_number": "901-507-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5384 POPLAR AVE",
            "address_2": "SUITE 106",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193609",
            "telephone_number": "901-255-3030",
            "fax_number": "901-507-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "25198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Banks, RD
• Margaret Banks, LCSW
• Shadonna Roshawn Banks, LADAC 1
• Tovia Banks, DDS
• Lea Mary Bannister, MD
• Ferdinand Bantilan
• Qiping Bao
• Baptist Cancer Center Physicians Foundation, Inc.
• Baptist Memorial Health Services Inc (Concern EAP)
• Baptist Memorial Health Services Inc (Baptist Home Medical Equipment)

• Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.