Jessie L Bender, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

71454 Issued in GA

Practice address

4181 Hospital Dr NE Ste 104
Covington, GA 30014-2541

Phone

(770) 385-8954

Fax

(770) 385-8590

NPI assigned

Jul 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Covington Women'S Health Specialist

  • Gynecology Physician
  • Covington, GA
  • NPI 1689809022

  GA, Obstetrics & Gynecology

  Medicare reassignment NPD
• Dr. Bolanle Sogade M.D. LLC

  • Obstetrics Physician
  • Macon, GA
  • NPI 1689857542

  GA

  Medicare reassignment NPD
• Obhg Georgia, P.C.

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1750686838

  GA, Obstetrics & Gynecology

  Medicare reassignment NPD
• United Obstetrics and Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Tifton, GA
  • NPI 1205847639

  Obstetrics & Gynecology

  NPD (past)
• Womens Center for Advanced Surgery Inc

  • Ambulatory Surgical Clinic/Center
  • Tifton, GA
  • NPI 1295086049
  NPD (past)
• Cny Fertility Center

  • Reproductive Endocrinology Physician
  • Syracuse, NY
  • NPI 1568504298
  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1083845788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7166 GOLFSIDE DR SE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143258",
            "telephone_number": "770-385-8954",
            "fax_number": "770-385-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE STE 104",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-385-8954",
            "fax_number": "770-385-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JESSIE",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT013096",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "71454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuquan Carl Beeks
• Bef Insurance Solutions LLC
• Keith Everett Bell
• Quindarius Bell
• Beloved Care Corporation
• Brittany Bennett
• Nyisha Bennett, RN
• Barbara Daniel Bentley
• Joyce B Benton
• Berry Best Inc

• All providers in Covington, GA
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.