KEITH M BANTON MD PA
NPI 1891887600
Family Medicine in Panama City, FL
About Keith M Banton Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH M BANTON MD PA (NPI 1891887600) is a healthcare organization registered as a family medicine in Panama City, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Keith M Banton, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Keith M Banton Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Keith M Banton MD PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1017165
Keith Banton MD PA · Panama City, FLFrequently 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 Keith M Banton MD PA's NPI number?
The NPI number for Keith M Banton MD PA is 1891887600. It was assigned to this organization in the NPPES registry on September 29, 2006.
Where is Keith M Banton MD PA located?
Keith M Banton MD PA is located at 3230 E 15th St Unit B, Panama City, FL 32405. The listed phone number is (850) 763-4700.
What is Keith M Banton MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Keith M Banton MD PA enrolled in Medicare?
Yes. Keith M Banton MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keith M Banton MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Keith M Banton MD PA, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Keith M Banton MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1017165) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Keith M Banton MD PA was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Keith M Banton Md Pa · NPI 1891887600
Family Medicine organization in Panama City, Florida. Organization record, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1891887600 (Entity type: Organization)
- **Enumerated:** September 29, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Keith Banton, PRESIDENT
## Practice location
- **Address:** 3230 E 15TH ST, UNIT B, Panama City, FL 32405-7423
- **Phone:** (850) 763-4700 · **Fax:** (850) 763-4999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2014
- **Other identifiers:** Other 13636 (FL); Medicaid 265799600 (FL); Medicare PIN 13636 (FL); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891887600) · Data from the CMS NPPES public registry.