ANNA LEE BANISTER ANP-BC NPI 1104123371

NPI Information

  • NPI: 1104123371
  • Provider Name: ANNA LEE BANISTER, ANP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 TOWNE PARK DR
    RINCON, GA
    ZIP 31326
  • Phone: (912) 826-0052

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NPI Details

Anna Lee Banister, ANP-BC is an adult health nurse practitioner in Rincon, GA with 18 years of experience. Anna Lee Banister, ANP-BC NPI is 1104123371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 TOWNE PARK DR
RINCON, GA
ZIP 31326-156
Phone: (912) 826-0052
Fax: (912) 826-4726

The NPI 1104123371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRN144607GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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