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

Lacey Wilbanks

Individual provider Family Nurse Practitioner · NPI 1023893922

Lacey Wilbanks is a Nurse Practitioner in Anderson, South Carolina. Qualified in 2023, 3 years ago. Practices with South Carolina Dept of Mental Health Accounting Office, a 231-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
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Practice location Address checks out

108 Montgomery Dr
Anderson, SC 29621-3334
Phone: (864) 225-5597
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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 27810 (SC)

Record details

NPI number1023893922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice South Carolina Dept Of Mental Health Accounting Office — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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