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

Keisha Roxanne Banks

Individual provider Family Nurse Practitioner · NPI 1811705056

Keisha Roxanne Banks is a Nurse Practitioner in Stockbridge, Georgia. Qualified in 2024, 2 years ago. Practices with Aylo Health, LLC, a 112-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173
Phone: (770) 389-3855
Fax: (770) 474-8078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN241292 (GA)

Record details

NPI number1811705056
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2024
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Aylo Health, Llc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stockbridge