Misty Nicole Banknell, PA-C
NPI 1609034453ActiveIndividual· Physician Assistant· Milledgeville, GA
Physician Assistant (PA-C) in Milledgeville, Georgia, licensed in GA, with an NPI issued in May 2008. Revance Therapeutics, Inc. reported $23.25 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1609034453 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 29, 2008 |
| Last updated in NPPES | Mar 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 005333 | GA |
| Physician Assistant, Medical | 363AM0700X | 005333 | GA |
| Physician Assistant, Surgical | 363AS0400X | 005333 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$23.25 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $23.25 | 1 |
What the 2024 payments were for
- Food and Beverage$23.25 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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