Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jim Jaralene Porquez Banno, MD

Individual provider Family Medicine Physician · NPI 1205417722

Dr. Jim Jaralene Porquez Banno, MD is a Family Practice in Kenansville, North Carolina. Qualified in 2020, 6 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

748 Kenansville Byp
Kenansville, NC 28349-9064
Phone: (910) 296-8080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 Stantonsburg Rd, Greenville, NC 27834-2818 — (252) 847-4100

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2024-00756 (NC)

Record details

NPI number1205417722
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2021
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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