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DR. WACHOVIA CHANTA' BANKS D.O.
NPI 1487880126
Family Medicine in Blythewood, SC

Active since June 09, 2009PECOS Enrolled
1175 GREY PINE DR, BLYTHEWOOD, SC 29016(803) 995-5599 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2022, Apr 8, 2020, Nov 20, 2018 (3 updates tracked since 2018).

About Dr. Wachovia Chanta' Banks D.o. NPPES

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

DR. WACHOVIA CHANTA' BANKS D.O. (NPI 1487880126) is an individual family medicine provider in Blythewood, South Carolina, licensed in Louisiana (COVID19-TMP-211) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487880126
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WACHOVIA CHANTA' BANKSCredential: D.O.
Location Address1175 GREY PINE DRBlythewood, SC 29016-7320
Mailing Address5800 Brunswick CtNew Orleans, LA 70131-5425 · (717) 880-3740
Phone(803) 995-5599
Sole ProprietorNo
Enumeration DateJune 9, 2009
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1487880126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in LA · COVID19-TMP-211✔ Licensed in SC · 51870
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License OT013286 (PA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License OT013286 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1175 GREY PINE DR, Blythewood, SC 29016
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Other Names 1

Former Name (1)Wachovia Chanta' Rier D.o.

Secondary Practice Locations 2

Location 1325 S Belmont StYork, PA 17403-2608 · Phone (717) 880-3740
Location 23909 Lapalco BlvdHarvey, LA 70058-2302 · Phone (504) 349-6900

Other Identifiers 2

Medicaid2570986LA
Medicaid518700SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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)

Dr. Wachovia Chanta' Banks D.o. 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 29016 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

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

AMETHYST HEALTH, LLC
Clinic/Center (Primary Care)
1175 GREY PINE DR
BLYTHEWOOD, SC 29016
Richland County (717) 880-3740

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 Wachovia Banks's NPI number?

The NPI number for Wachovia Banks is 1487880126. It was assigned to this individual provider in the NPPES registry on June 9, 2009. The provider is also known as Wachovia Chanta' Rier D.O..

Where is Wachovia Banks located?

Wachovia Banks practices at 1175 Grey Pine Dr, Blythewood, SC 29016. The listed phone number is (803) 995-5599.

What is Wachovia Banks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wachovia Banks enrolled in Medicare?

Yes. Wachovia Banks is registered in the Medicare PECOS enrollment system.

What insurance does Wachovia Banks accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Wachovia 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.

When was this NPI record last updated?

The NPPES record for Wachovia Banks was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.