Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003161233 Deactivated / Inactive NPI Male Practitioner

Dr. Craig Allan Banta , MD

Specialist • Canton, GA

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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. Craig Banta has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2012
NPI Deactivation Date January 16, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Craig Banta, MD was a registered Specialist practicing in Canton, GA. Throughout an active medical career spanning 13 years, Dr. Banta provided care at the practice location at 2050 CUMMING HWY until profile deactivation on 2025-01-16.

Practice Location & Contact Primary Location

Practice Address

2050 Cumming Hwy
Suite 100

Canton, GA 301148614

Telephone 7703459600
Fax 7703459611
Associated Practice Facility / Clinic
🏢 Superior Healthcare Llc Facility NPI 1295782514

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Canton, GA (979 Statewide)

Telehealth Adoption Rate
0.0% 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 GA 48873

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1245287945

Doctor of Chiropractic

Benedict Cavaliere , CHIROPRACTOR

Chiropractor - Rehabilitation

NPI 1366743171
NPI 1700334190

Doctor of Chiropractic

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 16, 2025

Record deactivated on January 16, 2025

NPI Profile Active July 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 13, 2012

Registered at 2050 CUMMING HWY, SUITE 100, CANTON, GA 301148614 (Tel: 7703459600)

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Updated Business Mailing Address July 13, 2012

Registered at 2050 CUMMING HWY, SUITE 100, CANTON, GA 301148614 (Tel: 7703459600)

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Provider Name / Credentials Updated July 13, 2012

Recorded as CRAIG BANTA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2012

Specialist (License #48873 in GA)

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Initial NPI Registration & Enumeration July 13, 2012

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: 1003161233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2012
Last Update: July 13, 2012
Deactivation Date: January 16, 2025

Mailing Address

2050 Cumming Hwy, Suite 100

Canton, GA 301148614

Phone: 7703459600

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.