NPI age
17 years
Enumerated 2008-05-29
● Active
Type 1 · Individual
Misty Nicole Banknell, PA-C
Banknell is 1 of 5 physician assistant providers in Milledgeville and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-03-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
17 years
↑ 9 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 24% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
230 N Jefferson St Ne
Milledgeville, GA 310613418
Mailing address
2400 Bellevue Rd Ste 21a
Dublin, GA 310212890
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
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Physician AssistantDefinition to come...
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Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | P00644516 | RR MEDICARE PIN |
| 01 (GA) | 005333 | STATE LICENSE |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.