Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK BANOV MD
NPI 1811930324
Family Medicine in Tucker, GA

Q: What is Mark Banov's NPI number?

The NPI number for Mark Banov is 1811930324. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Mark Banov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Banov was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since June 13, 2006

2151A IDLEWOOD RD, TUCKER, GA 30084(770) 270-1622 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Banov Md NPPES

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

DR. MARK BANOV MD (NPI 1811930324) is an individual family medicine provider in Tucker, Georgia, licensed in Georgia (033519) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1811930324

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK BANOVCredential: MD

Location Address2151A IDLEWOOD RDTucker, GA 30084-4816

Mailing Address3025 Breckinridge BlvdDuluth, GA 30096-4979 · (770) 270-1622

Phone(770) 270-1622

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1811930324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 033519

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.

2151A IDLEWOOD RD, Tucker, GA 30084

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Other Identifiers 1

Medicaid00531297AGA

Other Providers at the Same Location NPPES

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

CORPORATE MEDICAL CARE, PC

Internal Medicine

2151A IDLEWOOD RD
TUCKER, GA 30084

Dekalb County (770) 270-1622

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 Mark Banov's NPI number?

The NPI number for Mark Banov is 1811930324. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Mark Banov located?

Mark Banov practices at 2151A Idlewood Rd, Tucker, GA 30084. The listed phone number is (770) 270-1622.

What is Mark Banov's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Banov was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.