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

Mrs. Stephanie Eileen Banasik, ADULTNURSEPRACTITI

Individual provider Nurse Practitioner · NPI 1477931384

Mrs. Stephanie Eileen Banasik, ADULTNURSEPRACTITI is a Nurse Practitioner in Richmond Hill, Georgia. Qualified in 2004, 22 years ago. Practices with Procare Wellness Network Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2015

Practice location Address checks out

10200 Ford Ave Ste 101
Richmond Hill, GA 31324
Phone: (912) 459-6446
Fax: (912) 445-5781
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN220937 (GA)

Record details

NPI number1477931384
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADULTNURSEPRACTITI
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESAugust 2, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Procare Wellness Network Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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