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

Individual provider Physician Assistant · NPI 1407501422

Tayla Banks, PA-C is a Physician Assistant in Fayetteville, Georgia. Qualified in 2021, 5 years ago. Practices with Walker Lake Emergency Group PC, a 32-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538
Phone: (770) 461-3776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407501422
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Walker Lake Emergency Group Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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