CAROLYN F BANNISTER (MD) – Anesthesiology Physician, NPI 1922058403
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,343 ANESTHESIOLOGY in FL
Provider Addresses for CAROLYN F BANNISTER (MD)
807 Childrens Way
Nemours Childrens Clinic, Jacksonville
Jacksonville, FL 322078426
Phone: (904) 697-3600
Fax: (904) 697-3792
Type: Location
2540 WINDY HILL RD SE
MARIETTA, GA 300678605
Phone: (470) 644-1274
Fax: (470) 644-1119
Type: Location
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 197320191
Phone: (904) 697-4201
Fax: (302) 651-4945
Type: Mailing
Nemours Children's Specialty Care, 807, Childrens Way, Jacksonville, Duval County, Florida, 32207, United States
NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 322078426
Phone: (904) 697-3600
Fax: (904) 697-3792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101021000975 | I | Anesthesiology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 20 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 22 | 22 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 14 | 14 | $0 |
| 00400 | Anesthesia for other procedure on skin of arms, legs, and front body | 11 | 11 | $0 |
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
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