AMINAT BANJO, NP — NPI 1740007269 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1740007269

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363L00000X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner

Box 32 Service Location & ZIP+4

2336 WISTERIA DR, SNELLVILLE, GA, 30078-6191

✓ 9-Digit EDI 837 ZIP+4 (30078-6191)

Practice Phone & Referral Fax

(770) 733-1469

Fax: (770) 674-1628

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740007269 (AMINAT BANJO, NP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740007269` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMINAT BANJO, NP
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: `363L00000X` (Nurse Practitioner)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2336 WISTERIA DR, SNELLVILLE, GA, 30078-6191
Practice Telephone / Fax	Tel: (770) 733-1469 \| Fax: (770) 674-1628
Administrative Mailing Address	2336 WISTERIA DR, SNELLVILLE, GA, 30078-6191
Enumeration & Last Sync	Enumerated: 2024-09-25 \| CMS Record Updated: 2025-11-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2336 WISTERIA DR, SNELLVILLE, GA, 30078-6191

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Plain-English Taxonomy & CMS Crosswalk (363L00000X)

What Does Taxonomy Code 363L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMINAT BANJO, NP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: GA \| License: `APRN-NP288244` \| Primary: Yes (Primary)
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: GA \| License: `rn288244` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: GA \| License: `RN288244` \| Primary: Secondary

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AMINAT BANJO, NP (NPI #1740007269)