Individual provider Active NPI

Sara Ruth Bennett, FNP-BC

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1104364173
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN165031 Issued in GA
Practice address
865 N Highland Ave NE
Atlanta, GA 30306-4565
Phone
(404) 733-6089
NPI assigned
Feb 9, 2017
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN165031 GA
Family Nurse Practitioner 363LF0000X RN165031 GA Primary
General Practice Registered Nurse 163WG0000X RN165031 GA

Addresses

Primary practice location

865 N Highland Ave NE
Atlanta, GA 30306-4565

Mailing address

1975 Highway 54 W Ste 255
Peachtree City, GA 30269-4794
Phone (770) 487-2218

Other practice location 1

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-6600

Other identifiers 1

IdentifierTypeStateIssuer
202I503548MedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sara.bennett2@hcahealthcare.com Direct
Direct Messaging Address sbennett@caawg.com Direct

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
I20170905003495 GA Practitioner - Nurse Practitioner 5890068308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Allergy and Asthma of Georgia PCGroup PAC ID 2062460785, 10 clinicians

Practice addresses (Care Compare)

223 W College St
Griffin, GA 30224-4120
Phone (770) 459-0620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN165031GAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Feb 17, 2021 Accepting new patients
Center for Allergy & Asthma of Georgia PC CurrentSince Sep 9, 2022 Accepting new patients
Center for Allergy and Asthma Southern Crescent CurrentSince Mar 26, 2023 Accepting new patients

Locations

865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089

825 Dixie St
Carrollton, GA 30117

223 W College St
Griffin, GA 30224

1615 Highway 34 E
#A
Newnan, GA 30265

1975 Highway 54 W
Ste 255
Peachtree City, GA 30269

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

690 Dallas Hwy
Ste 101
Villa Rica, GA 30180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA
  • Direct secure messaging: sara.bennett2@hcahealthcare.com
  • Direct secure messaging: sbennett@caawg.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1104364173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 255",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "770-487-2218",
            "fax_number": "678-788-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 N HIGHLAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064565",
            "telephone_number": "404-733-6089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-6600",
            "fax_number": "912-350-8427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SARA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN165031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN165031",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN165031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202I503548",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.bennett2@hcahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4700 Waters Ave",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314046220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbennett@caawg.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4700 Waters Ave",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314046220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.