Active NPI
Stephanie Faye Bennett
- Family Medicine Physician
- Macon, GA
National Provider Identifier
1043086879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN251069
- Practice address
- 1014 Forsyth St
Macon, GA 31201-2051 - Phone
- (478) 633-8100
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | RN251069 | GA | |
| Family Medicine Physician | 207Q00000X | RN251069 | GA | Primary |
Addresses
Primary practice location
1014 Forsyth St
Macon, GA 31201-2051
Mailing address
5661 Ocmulgee East Blvd
Macon, GA 31217-5797
Phone (478) 960-9592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116001741 | GA | Practitioner - Nurse Practitioner | 4880046820 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gabriel Primary Care
Practice addresses (Care Compare)
101 Gateway Dr
Macon, GA 31210-1141
Phone (478) 378-0829
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN251069 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabriel Primary Care | Family Medicine | Current | Accepting new patients |
Locations
101 Gateway Dr
Macon, GA 31210
Phone (478) 210-1670
Interoperability endpoints
- sbennett434675@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1043086879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5661 OCMULGEE EAST BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312175797",
"telephone_number": "478-960-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 FORSYTH ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012051",
"telephone_number": "478-633-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "STEPHANIE",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "GA",
"license": "RN251069",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN251069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.