Individual provider Active NPI

Lea Mary Bannister, MD

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1922034271
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD024990 Issued in TN
Practice address
6745 Wolf River Blvd.
Memphis, TN 38120
Phone
(901) 767-8442
Fax
(901) 684-6260
NPI assigned
Jun 25, 2006
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD024990 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100518000175 TN Practitioner - Obstetrics/Gynecology 4385772060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 7214918762, 46 clinicians

Practice addresses (Care Compare)

6745 Wolf River Blvd
Memphis, TN 38120-2386
Phone (901) 767-8442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.6 of 100Reported as group
Quality
92.14
Promoting interoperability
100
Improvement activities
40
Cost
76.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD024990TNMDObstetrics & Gynecology Physician
24990TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients
Memphis Obstetrics and Gynecological Association PC Obstetrics & Gynecology CurrentSince Jun 12, 2000 Accepting new patients
Womens Health Specialists, PLLC Obstetrics & Gynecology Current Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2015 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Baptist Memorial Hospital 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
Memphis, TN 38120
Phone (901) 227-9870

6215 Humphreys Blvd
Ste 40
Memphis, TN 38120
Phone (901) 685-7342

6215 Humphreys Blvd
Ste 400
Memphis, TN 38120
Phone (901) 227-9580

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

6745 Wolf River Blvd
Memphis, TN 38120
Phone (901) 747-8442

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4
  • Direct secure messaging: lbannister29180@mlh.direct-ci.com
  • Direct secure messaging: lea.bannister.1@16415.direct.athenahealth.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1922034271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 WOLF RIVER BLVD.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-767-8442",
            "fax_number": "901-684-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6215 Humphreys Blvd",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202367",
            "country_code": "US",
            "telephone_number": "901-767-8448",
            "fax_number": "901-684-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "LEA",
        "middle_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD024990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.