RICHARD NEIL JR. BANEY (M.D.) – Internal Medicine Physician, NPI 1821081589

RICHARD NEIL JR. BANEY (M.D.) is a healthcare provider. based in Decatur, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 89132 (GA). The NPI Number for RICHARD NEIL JR. BANEY (M.D.) is 1821081589

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD NEIL JR. BANEY (M.D.)
NPI
1821081589
Phone
(404) 836-0272
Address
2124 CANDLER RD
Enumeration Date
29 August 2005
Last Update Date
2 May 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3217254500
Graduation Year
1988 (38 years ago)
PAC ID
9739252404
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20100104000465
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for RICHARD NEIL JR. BANEY (M.D.)

  • 2124 CANDLER RD

    DECATUR, GA 300325572

    Phone: (404) 836-0272

    Type: Location

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 434-1981

    Fax: (321) 951-7408

    Type: Mailing

  • Health First Medical Group, 1223, Gateway Drive, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329012607

    Phone: (321) 725-4500

    Fax: (321) 409-3685

    Type: Location

  • 1223 Gateway Drive

    Melbourne, FL 329012607

    Phone: (321) 725-4500

    Fax: (321) 409-3685

    Type: Location

  • 1331 Mount Zion Rd

    Morrow, GA 302602357

    Phone: (770) 629-3217

    Type: Location

  • 1395 NW 167TH ST

    MIAMI GARDENS, FL 331695710

    Phone: (770) 629-3217

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2021-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210609003420IInternal MedicineGATBD

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 30032)

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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: 7416100672View full group profile
NameSpecialtyState
-FL
General SurgeryFL
Internal MedicineFL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify RICHARD NEIL JR. BANEY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1821081589 for RICHARD NEIL JR. BANEY (M.D.).
Should I treat RICHARD NEIL JR. BANEY (M.D.) as an active provider?
Patients and plans typically see RICHARD NEIL JR. BANEY (M.D.) as active in the national extract.
What does the directory say RICHARD NEIL JR. BANEY (M.D.) does?
Insurance directories may phrase it differently, but here RICHARD NEIL JR. BANEY (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RICHARD NEIL JR. BANEY (M.D.)?
RICHARD NEIL JR. BANEY (M.D.) is associated with Decatur, Georgia in the same public data insurers reference.
Who maintains RICHARD NEIL JR. BANEY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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