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NPI 1811679269ActiveOrganization· Nurse Practitioner, Family· Forest Park, GA

Nurse Practitioner, Family in Forest Park, Georgia, registered in NPPES in August 2023. The authorized official on file is Melva L. Banks, MSN, APRN, FNP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1811679269
StatusActive
Entity typeOrganization
NPI issuedAug 4, 2023
Last updated in NPPESDec 5, 2023
Certified by providerDec 5, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other family nurse practitioners in Forest Park

All family nurse practitioners in Georgia