NPI age
17 years
Enumerated 2008-06-19
● Active
Type 1 · Individual
DR. Glenn Banegura, M.D.
Banegura is 1 of 49 internal medicine providers in Snellville and 1 of 5027 in Georgia.
Primary specialty
Internal Medicine
Plus 12 subspecialties
Licensed in
NH, HI, WI, IL, MT, SC, OH, MS, NV, TN, AL, GA, LA
13 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5027 active internal medicine providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
State licenses
13 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
1700 Medical Way, Hospitalist Office
Snellville, GA 300782195
Mailing address
1700 Medical Way
Snellville, GA 300782195
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
1 Medical Center Dr
Lebanon, NH 037561000
Location 3
800 N Fant St
Anderson, SC 296215708
Location 4
400 Palmetto Health Pkwy
Columbia, SC 292121760
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
HospitalistHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 340027 | |
| 01 (SC) | SCB3979068 | MEDICARE PIN |
| 01 (SC) | SCB3975019 | MEDICARE PIN |
Multi-state credentialing: Licensed in 13 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 127 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.