Jerry B Banks Ii (NPI# 1578552410, PAC ID# 1052224037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578552410 |
| PAC ID by PECOS | 1052224037 |
| Professional Enrollment ID | I20150721001829 |
| Full Name | Jerry B Banks Ii |
| Organization Legal Name | COASTAL CAROLINA PRIMARY CARE, LLC |
| Address |
809 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Phone Number | 8432917182 |
| Gender | M |
| Credential | MD |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577629088 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1113 Church St, Conway, SC 29526-4128 | 8432486269 | DOCTORS CARE, PA |
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8432917182 | COASTAL CAROLINA PRIMARY CARE, LLC |
| 839 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 8432361950 | COASTAL CAROLINA PRIMARY CARE, LLC |
| 839 82nd Pkwy, Suite 185, Myrtle Beach, SC 29572-4614 | 8438484640 | COASTAL CAROLINA PRIMARY CARE, LLC |
| Organization Legal Name | COASTAL CAROLINA PRIMARY CARE, LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Shadiack | Family Medicine | Coastal Carolina Primary Care, LLC | 839 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Nancy Burgess Stroud | Obstetrics/gynecology | Coastal Carolina Primary Care, LLC | 9279 Medical Plaza Dr, Suite A, Charleston, SC 29406-9141 |
| Jerry G Back | Internal Medicine | Coastal Carolina Primary Care, LLC | 2845 Tricom St, North Charleston, SC 29406-9172 |
| Alexander W Chessman | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Susan K Herrington | Physician Assistant | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Sarah E Hearn | Physician Assistant | Coastal Carolina Primary Care, LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Nicholas P Shungu | Family Medicine | Coastal Carolina Primary Care, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Sean Patrick Haley | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Eric M Matheson | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Kristen L Hood Watson | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Malik | Family Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Steven A Matzinger | General Surgery | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Nyein W Garner | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Andrew Peter Mangano | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Thanigaiarsu Thiyagarajan | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Joshua Paul Myers | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Robert E Jones Iv | Anesthesiology Assistant | Coastal Anesthesia Medical Group, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Ernest W Stokes Iii | Physician Assistant | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Mohamed Faris | Internal Medicine | Southeastern Hospitalist Services, PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MYRTLE BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jerry B Banks Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.