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Deactivated NPI 1629284690 Deactivated / Inactive NPI Male Practitioner

Dr. Nicholas Howard Bancks , MD

Specialist • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nicholas Bancks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2007
NPI Deactivation Date January 04, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Bancks, MD was a registered Specialist practicing in Jacksonville, FL. Throughout an active medical career spanning 16 years, Dr. Bancks provided care at the practice location at 1748 LORD BYRON LN until profile deactivation on 2023-01-04.

Practice Location & Contact Primary Location

Practice Address

1748 Lord Byron Ln

Jacksonville, FL 322230800

Telephone 9042683034
Fax 9042683034

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.7 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
107 Specialists

Practicing in Jacksonville, FL (3036 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME34293

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 04, 2023

Record deactivated on January 04, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1748 LORD BYRON LN, JACKSONVILLE, FL 322230800 (Tel: 9042683034)

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Updated Business Mailing Address July 08, 2007

Registered at 1748 LORD BYRON LN, JACKSONVILLE, FL 322230800 (Tel: 9042683034)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NICHOLAS BANCKS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #ME34293 in FL)

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Initial NPI Registration & Enumeration May 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629284690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: July 08, 2007
Deactivation Date: January 04, 2023

Mailing Address

1748 Lord Byron Ln

Jacksonville, FL 322230800

Phone: 9042683034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.