Individual provider Active NPI

Raquel Lisa Bennett- Gittens, M.D.

  • Cardiovascular Disease Physician
  • Columbus, GA
National Provider Identifier
1114191871
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
70713 Issued in GA
Practice address
610 19TH St
Columbus, GA 31901-1528
Phone
(706) 322-7884
Fax
(706) 660-2118
NPI assigned
Apr 14, 2008
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 70713 GA Primary

Addresses

Primary practice location

610 19TH St
Columbus, GA 31901-1528

Mailing address

2300 Manchester Expy Ste 2001a
Columbus, GA 31904-6802
Phone (706) 320-3126

Other practice location 1

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773

Other identifiers 2

IdentifierTypeStateIssuer
202I061193OtherGAMEDICARE PTAN
003140208BMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131031000017 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254566136 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Cardiology Associates PCGroup PAC ID 1557356995, 15 clinicians

Practice addresses (Care Compare)

2300 Manchester Expy
BLDG H Suite 202
Columbus, GA 31904-6802
Phone (706) 320-3090

2300 Manchester Expy
Suite 2001
Columbus, GA 31904-6877
Phone (706) 323-5552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70713GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mac - Macon Road LLC Current Accepting new patients
SFH Columbus Cardiology, LLC Cardiovascular Disease CurrentSince Mar 1, 2025 Accepting new patients
St Francis Columbus Clinic LLC Internal Medicine Current Accepting new patients
St. Francis Physician Practices LLC Internal Medicine Current Accepting new patients
Columbus Cardiology Associates, PC Cardiovascular Disease CurrentSince Mar 1, 2025 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
St. Francis Psychiatrist ,LLC Current Accepting new patients
St Francis Affiliated Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Affiliated Services LLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
St Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste 1003
Columbus, GA 31904
Phone (706) 323-5552

2300 Manchester Expy
Ste 2001
Columbus, GA 31904
Phone (706) 323-5552

2300 Manchester Expy
Ste 2001A
Columbus, GA 31904
Phone (706) 320-3126

2300 Manchester Expy
Ste H202
Columbus, GA 31904
Phone (706) 320-3090

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

Interoperability endpoints

  • Direct secure messaging: raquel.bennett-.gittens.1@12580.direct.athenahealth.com
  • Direct secure messaging: raquel.bennett-gittens@sfhga.gadirect.net
  • Direct secure messaging: raquel.bennettgittens@gadirect.net

Organizations & group practices 10

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 3

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1114191871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 2001A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-320-3126",
            "fax_number": "706-320-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011528",
            "telephone_number": "706-322-7884",
            "fax_number": "706-660-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Manchester Expy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046878",
            "country_code": "US",
            "telephone_number": "706-320-2773",
            "fax_number": "706-596-4226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT- GITTENS",
        "first_name": "RAQUEL",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "70713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I061193",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140208B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.