EBANKS MEDICAL PRIMARY CARE LLC
NPI 1245094168
Nurse Practitioner - Primary Care in Orlando, FL
About Ebanks Medical Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBANKS MEDICAL PRIMARY CARE LLC (NPI 1245094168), doing business as Ebanks Medical Primary Care, is a healthcare organization registered as a primary care in Orlando, Florida and active in the NPI registry since February 2024. The organization lists Sharon Jennifer Ebanks, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ebanks Medical Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ebanks Medical Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ebanks Medical Primary Care LLC's NPI number?
The NPI number for Ebanks Medical Primary Care LLC is 1245094168. It was assigned to this organization in the NPPES registry on February 12, 2024. The provider is doing business as Ebanks Medical Primary Care.
Where is Ebanks Medical Primary Care LLC located?
Ebanks Medical Primary Care LLC is located at 6209 W Robinson St, Orlando, FL 32835. The listed phone number is (407) 376-3375.
What is Ebanks Medical Primary Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Ebanks Medical Primary Care LLC enrolled in Medicare?
Yes. Ebanks Medical Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ebanks Medical Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ebanks Medical Primary Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ebanks Medical Primary Care LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ebanks Medical Primary Care Llc · NPI 1245094168
Primary Care organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since February 12, 2024.
## Identity
- **NPI:** 1245094168 (Entity type: Organization)
- **Enumerated:** February 12, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Also known as:** Ebanks Medical Primary Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sharon Ebanks, MANAGING DIRECTOR
## Practice location
- **Address:** 6209 W ROBINSON ST, Orlando, FL 32835-1361
- **Phone:** (407) 376-3375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245094168) · Data from the CMS NPPES public registry.