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

John A Banahan Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1720379720

John A Banahan Jr., MD is a Diagnostic Radiology in Pascagoula, Mississippi. Graduated from University of Mississippi School of Medicine in 2011, 15 years ago. Practices with Smb Radiology P A, a 22-clinician group and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
15
Trained at
University of Mississippi School of Medicine
Licensed in
AL, MS
In the registry since
2011
Specialties on file
2
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

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone: (228) 762-1353
Fax: (228) 762-1359
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 32065 (AL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 24796 (MS)

Record details

NPI number1720379720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2011
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Smb Radiology P A — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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