SANDRA K BANKS M.D.
NPI 1235140286
Internal Medicine in Atlanta, GA

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
65.22/100
CMS Quality Rating
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200, ATLANTA, GA 30342(404) 255-9100(404) 257-7171 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra K Banks M.d. NPPES

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

SANDRA K BANKS M.D. (NPI 1235140286) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (048330) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (1994).

NPPES Registry Identity

NPI1235140286
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDRA K BANKSCredential: M.D.
Location Address5670 PEACHTREE DUNWOODY RD NE, SUITE 1200Atlanta, GA 30342-1699
Mailing Address5670 Peachtree Dunwoody Rd Ne, Suite 1200Atlanta, GA 30342-1699 · (404) 255-9100 · Fax (404) 257-7171
Fax(404) 257-7171
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1994
Enumeration DateAugust 11, 2006
Last NPPES UpdateJanuary 30, 2017
NPI 1235140286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 048330
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5670 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342

Other Identifiers 2

Medicare PIN202I114876GA
Medicaid003129261AGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandra K Banks M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769429836
PECOS Enrollment IDI20050513000462
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
900 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
573 services352 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
454 services317 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
192 services188 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services123 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services51 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.69
Improvement Activities40
Cost43.29

Reported Quality Measures

Breast Cancer Screening
78%1,047 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
62%1,516 patients3/55-star benchmark: 100%
Controlling High Blood Pressure
66%679 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
69%174 patients2/55-star benchmark: 98%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
57%504 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers40 claims114 services$5.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims12 services$1.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hematology & Oncology)
5670 PEACHTREE DUNWOODY RD NE, SUITE 1100
ATLANTA, GA 30342
Nurse Practitioner
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Otolaryngology
5670 PEACHTREE DUNWOODY RD NE, SUITE 1280
ATLANTA, GA 30342
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Internal Medicine
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200
ATLANTA, GA 30342
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342

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 Sandra Banks's NPI number?

The NPI number for Sandra Banks is 1235140286. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Sandra Banks located?

Sandra Banks practices at 5670 Peachtree Dunwoody Rd NE Suite 1200, Atlanta, GA 30342. The listed phone number is (404) 255-9100.

What is Sandra Banks's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandra Banks enrolled in Medicare?

Yes. Sandra Banks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandra Banks accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sandra Banks 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.

Is Sandra Banks affiliated with any hospitals?

According to CMS data, Sandra Banks is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Saint Joseph's Hospital Of Atlanta, Inc, Piedmont Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Banks was last updated on January 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.