Skip to content
NPISignal

Individual Healthcare Provider

Mara Banks, MD, PHD

NPI Record: ActivePathology — Anatomic Pathology & Clinical Pathology
NPI1508249392
Gastonia, North Carolina

Provider's NPPES record last updated: June 16, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1508249392
Primary Specialty
Pathology — Anatomic Pathology & Clinical Pathology
Practice Location
Gastonia, North Carolina
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 11:41 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pathology

    Anatomic Pathology & Clinical Pathology

    Allopathic & Osteopathic Physicians

    Primary

    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

    Taxonomy code 207ZP0102X
  • Pathology

    Anatomic Pathology

    Allopathic & Osteopathic Physicians

    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

    Taxonomy code 207ZP0101X

Provider-Reported License Information

Pathology (North Carolina)
2021-01977
Pathology (Rhode Island)
LP04867
Pathology (Utah)
11070719-1205
Pathology (California)
A172430
Pathology (Georgia)
7664
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2525 Court Dr

Gastonia, North Carolina 28054-2140

Phone: (704) 834-2450

Additional Practice Location

1120 15th St

Augusta, Georgia 30912-0004

Phone: (706) 721-5118

Additional Practice Location

15 Medical Dr Ste 1100

Salt Lake City, Utah 84112-1100

Phone: (801) 581-4390

Additional Practice Location

593 Eddy St

Providence, Rhode Island 02903-4923

Phone: (401) 444-5057

Fax: (401) 606-1233

Record Information

Enumeration Date
June 30, 2015
Provider's NPPES Record Last Updated
June 16, 2021
Certification Date
June 16, 2021
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue