Individual provider Active NPI

David W Banks, MD

  • Urology Physician
  • Roswell, GA
National Provider Identifier
1942305164
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
021941 Issued in GA
Practice address
1357 Hembree Rd
Suite 250
Roswell, GA 30076-5722
Phone
(770) 475-7550
Fax
(770) 343-9080
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 021941 GA Primary

Addresses

Primary practice location

1357 Hembree Rd
Suite 250
Roswell, GA 30076-5722

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Other practice location 1

1800 Northside Forsyth Dr Ste 370
Cumming, GA 30041-8483
Phone (770) 889-9737

Other identifiers 1

IdentifierTypeStateIssuer
000229809BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.banks.p1@direct.gupa.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050328000980 GA Practitioner - Urology 0547216020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021941GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology PA Urology CurrentSince Mar 1, 2013 Accepting new patients
Urological Professional Services, LLC Urology CurrentSince Nov 1, 2014 Accepting new patients
Georgia Urology, PA CurrentSince Mar 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

1800 Northside Forsyth Dr
Ste 370
Cumming, GA 30041
Phone (770) 889-9737

1100 Northside Forsyth Dr
Ste 410
Cumming, GA 30041
Phone (678) 947-6199

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

1357 Hembree Rd
Ste 250
Roswell, GA 30076
Phone (770) 475-7550

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: david.banks.p1@direct.gupa.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1942305164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD",
            "address_2": "SUITE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765722",
            "telephone_number": "770-475-7550",
            "fax_number": "770-343-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Northside Forsyth Dr Ste 370",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300418483",
            "country_code": "US",
            "telephone_number": "770-889-9737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "021941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000229809B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.banks.p1@direct.gupa.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1357 Hembree Rd",
            "address_2": "Suite 250",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300765722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.