1. Home
  2. Directory
  3. South Carolina
  4. Clemson
  5. Pediatrics
  6. NPI Profile

ANTOINETTE MARIE BANNISTER M.D.
NPI 1174579254
Pediatrics in Clemson, SC

Active since May 26, 2006PECOS Enrolled
450 OLD GREENVILLE HWY, CLEMSON, SC 29631(864) 653-8964 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2021, May 19, 2016 (2 updates tracked since 2016).

About Antoinette Marie Bannister M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTOINETTE MARIE BANNISTER M.D. (NPI 1174579254) is an individual pediatrics provider in Clemson, South Carolina, licensed in South Carolina (36764) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174579254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANTOINETTE MARIE BANNISTERCredential: M.D.
Location Address450 OLD GREENVILLE HWYClemson, SC 29631-1670
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8611
Phone(864) 653-8964
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1174579254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 36764
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
450 OLD GREENVILLE HWY, Clemson, SC 29631
Open in Google Maps ↗

Other Names 1

Professional Name (2)Antoinette Bannister Md

Other Identifiers 1

Medicaid367640SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antoinette Marie Bannister M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISMA HEALTH-UPSTATE
Clinic/Center (Multi-Specialty)
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
MARION A WILLS M.D.
Pediatrics
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
PRISMA HEALTH-UPSTATE
Clinic/Center (Rural Health)
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
BETH LYNN DICKERSON NP
Nurse Practitioner (Pediatrics)
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoinette Bannister's NPI number?

The NPI number for Antoinette Bannister is 1174579254. It was assigned to this individual provider in the NPPES registry on May 26, 2006. The provider is also known as Antoinette Bannister MD.

Where is Antoinette Bannister located?

Antoinette Bannister practices at 450 Old Greenville Hwy, Clemson, SC 29631. The listed phone number is (864) 653-8964.

What is Antoinette Bannister's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Antoinette Bannister enrolled in Medicare?

Yes. Antoinette Bannister is registered in the Medicare PECOS enrollment system.

What insurance does Antoinette Bannister accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Antoinette Bannister as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antoinette Bannister was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.