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MCKENZIE LYNN BANKS
NPI 1730776410
Nurse Practitioner - Family in Kennesaw, GA

Active since December 28, 2020PECOS Enrolled
3372 VERDI LN, KENNESAW, GA 30144(404) 969-6163(747) 215-5464 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 18, 2024, Dec 28, 2020 (2 updates tracked since 2020).

About Mckenzie Lynn Banks NPPES

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

MCKENZIE LYNN BANKS (NPI 1730776410) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN299977) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730776410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMCKENZIE LYNN BANKS
Location Address3372 VERDI LNKennesaw, GA 30144-2600
Mailing Address3372 Verdi LnKennesaw, GA 30144-2600 · (336) 747-0685
Phone(404) 969-6163
Fax(747) 215-5464
Sole ProprietorNo
Enumeration DateDecember 28, 2020
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1730776410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN299977
3372 VERDI LN, Kennesaw, GA 30144
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Lynn Banks 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.

Medicare Billing Reassignment

Medicare enrollment records show Mckenzie Banks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ctd Network LLC
441 mi
Multi-Specialty
1805 JAMES L REDMAN PKWY STE 201
Plant City, FL 33563
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1851039762 (813) 807-3338

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

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 Mckenzie Banks's NPI number?

The NPI number for Mckenzie Banks is 1730776410. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Mckenzie Banks located?

Mckenzie Banks practices at 3372 Verdi Ln, Kennesaw, GA 30144. The listed phone number is (404) 969-6163.

What is Mckenzie Banks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mckenzie Banks enrolled in Medicare?

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

Which organization bills Medicare for Mckenzie Banks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Banks reassigns Medicare benefits to Ctd Network LLC (Plant City, FL). The 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 Mckenzie Banks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mckenzie Banks was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.