Lea Mary Bannister, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Memphis, TN
NPI 1922034271 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1922034271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD024990 (TN)
- Practice address
- 6745 Wolf River Blvd.
Memphis, TN 38120 - Phone
- (901) 767-8442
- Fax
- (901) 684-6260
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Tennessee, HSC, College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memphis Obstetrics and Gynecological Association PC
Practice addresses (Care Compare)
6745 Wolf River Blvd
Memphis, TN 38120-2386
Phone (901) 767-8442
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.6 of 100
- Quality
- 92.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.54
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100518000175 | TN | Practitioner - Obstetrics/Gynecology | 4385772060 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024990 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Health Specialists, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Baptist Memorial Medical Group Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Memphis Obstetrics and Gynecological Association PC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Baptist Memorial Hospital | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
1500 W Poplar Ave
Ste 202
Collierville, TN 38017
Phone (901) 861-5111
6215 Humphreys Blvd
Ste 400
Memphis, TN 38120
Phone (901) 227-9580
6215 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-9000
6215 Humphreys Blvd
Ste 40
Memphis, TN 38120
Phone (901) 685-7342
6745 Wolf River Blvd
Memphis, TN 38120
Phone (901) 747-8442
8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806
6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
Interoperability endpoints
- lbannister29180@mlh.direct-ci.com
- https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4
- lea.bannister.1@16415.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD024990 | TN | Yes |
Addresses
Primary practice location
6745 Wolf River Blvd.
Memphis, TN 38120
Mailing address
8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221
Other practice location 1
6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2367
Phone (901) 767-8448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3148944 | Other | TN | BCBS |
Other providers in Memphis, TN
- Felicia Banks
- Jessica Renee Banks
- Margaret Banks
- Shadonna Roshawn Banks
- Tovia Banks
- Thomas G Bannister
- Ferdinand Bantilan
- Qiping Bao
- Baptist Cancer Center Physicians Foundation, Inc.
- Baptist Memorial Health Services Inc
All providers in Memphis, TN · Obstetrics & Gynecology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.