DR. MICHAEL DAVID BANOV (MD) – Psychiatry Physician, NPI 1881771004
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
832 PSYCHIATRY in GA
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Provider Addresses for DR. MICHAEL DAVID BANOV (MD)
108, Margaret Avenue Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States
MARIETTA, GA 30060
Phone: (770) 422-2009
Fax: (770) 428-0330
Type: Location
11755 Pointe Pl
Roswell, GA 300764656
Phone: (770) 667-1264
Fax: (770) 667-2238
Type: Location
6025 Professional Pkwy Ste 301
Douglasville, GA 301345610
Phone: (770) 438-1799
Fax: (770) 825-9046
Type: Location
1314 Concord Rd SE
Smyrna, GA 300804361
Phone: (770) 438-1977
Fax: (770) 825-9046
Type: Location
1 Baltimore Pl NW Ste 200
Atlanta, GA 303082114
Phone: (470) 737-1606
Fax: (183) 397-3425
Type: Location
15 Medical Dr NE Ste 350
Cartersville, GA 301218005
Phone: (470) 737-1694
Fax: (844) 670-4367
Type: Location
10475 Medlock Bridge Rd Ste 420
Johns Creek, GA 300974439
Phone: (470) 737-1569
Fax: (833) 973-2670
Type: Location
1314 CONCORD RD SE
SMYRNA, GA 300804361
Phone: (770) 422-2009
Fax: (770) 428-0330
Type: Mailing
1012 COGGINS PL NE
MARIETTA, GA 300602585
Phone: (770) 422-2009
Fax: (770) 428-0330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 584 Open Payments records for all available years, with a total value of $289,726.
Total Amount is formed as General ($289,726) + Research ($0) + Ownership ($0) = $289,726.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($69,879).
Total Amount
$289,726
General + Research + Ownership
Payments
584
Total payment records
General Amount
$289,726
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $69,879 |
| Teva Pharmaceuticals USA, Inc. | $60,212 |
| ABBVIE INC. | $53,533 |
| ITI, Inc. | $36,867 |
| Janssen Pharmaceuticals, Inc | $25,564 |
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: 2012-11-01
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 |
|---|---|---|---|---|
| I20121101000230 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 520 | 232 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 168 | 26 | $0 |
| G2083 | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, | 153 | 12 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 111 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 54 | $0 |
Insurance plans in this area (ZIP 30060)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | GA | 90792 | Psychiatric diagnostic evaluation with medical services | 39 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| Nurse Practitioner | GA |
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