ANNA LEE BANISTER (ANP-BC) – Adult Health Nurse Practitioner, NPI 1104123371

Adult Health Nurse Practitioner

ANNA LEE BANISTER (ANP-BC) is a healthcare provider. based in Springfield, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-BC. They hold a License No. RN144607 (GA). The NPI Number for ANNA LEE BANISTER (ANP-BC) is 1104123371

Main info

Female

18 Years Of Experience

Accepts Medicare Assignment

Name

ANNA LEE BANISTER (ANP-BC)

NPI

1104123371

Phone

(912) 754-6451

Address

PO BOX 386

Enumeration Date

23 February 2011

Last Update Date

17 March 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9127540185

Graduation Year

2008 (18 years ago)

PAC ID

7618155763

Group Practice PAC ID

1254628092

Professional Enrollment ID

I20110621000238

Address ID

GA313293021SP459XXSXXX401

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:15State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ANNA LEE BANISTER (ANP-BC)

PO BOX 386
1259 HYW 119S
SPRINGFIELD, GA 313290386
Phone: (912) 754-6451
Type: Mailing
800 TOWNE PARK DR
RINCON, GA 313265156
Phone: (912) 826-0052
Fax: (912) 826-4726
Type: Location
1451 GA Hyw 21 South
Ste H
Springfield, GA 31329
Phone: (912) 754-1035
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-06-21

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

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
I20110621000238	I	Nurse Practitioner	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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31329)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1254628092View full group profile

Name	Specialty	State
DR. CLAUDE LEVON III SANKS (M.D.)	Internal Medicine	GA
JENNY TOMBERLIN CHILDS (FNP)	Nurse Practitioner	GA
JOHN BENNETT (M.D.)	Internal Medicine	GA
DR. DAVID WAYNE LARISCY (MD)	Cardiovascular Disease (Cardiology), Internal Medicine	GA
KALNETTIE DESHOND CAYMAN (MSN, APRN, FNP-BC)	Nurse Practitioner	GA
YANNETH GUADALUPE LONGORIA (WHNP)	Nurse Practitioner	GA
RAY L HOWELL (MD,MBA,FACOG,FICS)	-	GA
TERICA MCCULLOUGH (FNP)	Nurse Practitioner	GA
AUTUMN WALTON MONGO (PA-C)	Physician Assistant	GA
RHONDA DEE JONES (NP)	-	GA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up ANNA LEE BANISTER (ANP-BC) by NPI?

Use NPI 1104123371 when you need to reference ANNA LEE BANISTER (ANP-BC) in forms, claims, or directories.

Is ANNA LEE BANISTER (ANP-BC) active in the national directory?

ANNA LEE BANISTER (ANP-BC)'s public NPI profile is in an active state.

What field does ANNA LEE BANISTER (ANP-BC) work in?

You can think of ANNA LEE BANISTER (ANP-BC) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Does ANNA LEE BANISTER (ANP-BC) practice in Georgia?

You will see Springfield, Georgia on file for ANNA LEE BANISTER (ANP-BC) alongside any extra practice locations.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.