Individual provider Active NPI

Ladarryl Banks

  • Family Nurse Practitioner
  • Adamsville, AL
National Provider Identifier
1922888114
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06230903 Issued in AL
Practice address
3915 Veterans Memorial Dr
Adamsville, AL 35005-2260
Phone
(205) 809-7715
NPI assigned
Oct 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06230903 AL Primary

Addresses

Primary practice location

3915 Veterans Memorial Dr
Adamsville, AL 35005-2260

Mailing address

5164 Meadow Lake TRL
Bessemer, AL 35020-8125
Phone (205) 434-6516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030003766 AL Practitioner - Nurse Practitioner 4385090125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

3915 Veterans Memorial Dr
Suite 106
Adamsville, AL 35005-2273
Phone (205) 814-7206

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06230903ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Nov 13, 2023 Accepting new patients

Locations

3915 Veterans Memorial Dr
Ste 106
Adamsville, AL 35005
Phone (205) 674-1222

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

Interoperability endpoints

  • Direct secure messaging: ladarryl.banks.1@15135.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1922888114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 MEADOW LAKE TRL",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350208125",
            "telephone_number": "205-434-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 VETERANS MEMORIAL DR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052260",
            "telephone_number": "205-809-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "LADARRYL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F06230903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adamsville, AL

Sources for this page

Verify at the official NPI Registry.