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Jerry Burton Banks, MD

Family Medicine Physician in Myrtle Beach, SC · enumerated 2005 · practices at Coastal Carolina Primary Care, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578552410

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Registry record

Entity type Individual (Type 1)
Name Jerry Burton Banks
Credential MD
Sex Male
Practice address 920 Doug White Dr Ste 250, Myrtle Beach, SC, 29572
Fax (843) 839-2382
Enumeration date Oct 13, 2005
Last updated in NPPES Feb 10, 2022

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101232005 (VA) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD34440 (TN) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 37612 (SC) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1505595 Medicaid TN -
037612200 Medicaid SC -
1578552410 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jerry Banks?
Jerry Banks is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-10.