Individual provider Active NPI

Staci Thomas Bennett, FNP-C

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1083234322
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP193050 Issued in GA
Practice address
5430 Bowman Rd
Macon, GA 31210-8879
Phone
(478) 743-7068
Fax
(478) 741-1354
NPI assigned
Apr 16, 2020
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP193050 GA Primary

Addresses

Primary practice location

5430 Bowman Rd
Macon, GA 31210-8879

Mailing address

5430 Bowman Rd
Macon, GA 31210-8879
Phone (478) 743-7068

Other practice location 1

114 Sutherlin Dr Ste C-1
Warner Robins, GA 31088-2259
Phone (478) 743-7068

Other names 1

  • Staci Thomas Cox Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222001450 GA Practitioner - Nurse Practitioner 1759796956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

800 1St St
Suite 410
Macon, GA 31201-8306
Phone (478) 743-7068

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP193050GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Central Georgia Cancer Care CurrentSince Nov 17, 2020 Accepting new patients

Locations

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

5430 Bowman Rd
Macon, GA 31210
Phone (478) 314-1667

800 1st St
Ste 410
Macon, GA 31201
Phone (478) 743-7068

114 Sutherlin Dr
Ste C1
Warner Robins, GA 31088
Phone (478) 287-6144

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1083234322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 BOWMAN RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 BOWMAN RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Sutherlin Dr Ste C-1",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310882259",
            "country_code": "US",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STACI",
        "middle_name": "THOMAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP193050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "COX",
            "middle_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.