Active NPI
Raquel Lisa Bennett- Gittens, M.D.
- Cardiovascular Disease Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 70713
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I061193 | Other | GA | MEDICARE PTAN |
| 003140208B | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- St Francis Hospital- Emory Healthcare
- Piedmont Columbus Regional Midtown
- Piedmont Columbus Regional Northside
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70713 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac - Macon Road LLC | Current | Accepting new patients | |
| SFH Columbus Cardiology, LLC | Cardiovascular Disease | Current | 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 | Current | Accepting new patients |
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| St. Francis Psychiatrist ,LLC | Current | Accepting new patients | |
| St Francis Affiliated Services LLC | Current | Accepting new patients | |
| St Francis Affiliated Services LLC | Internal Medicine | Current | Accepting new patients |
| St Francis Physician Practices LLC | Current | 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
- raquel.bennett-.gittens.1@12580.direct.athenahealth.com
- raquel.bennett-gittens@sfhga.gadirect.net
- 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.
-
- Interventional Cardiology Physician
- Columbus, GA
- NPI 1407947625
Cardiovascular Disease
-
dba St. Francis Primary Care
- Family Medicine Physician
- Columbus, GA
- NPI 1326749417
Internal Medicine
-
dba St Francis Columbus Clinic
- Family Medicine Physician
- Columbus, GA
- NPI 1912371220
Internal Medicine
-
- Clinic/Center
- Columbus, GA
- NPI 1053599043
-
- Cardiovascular Disease Physician
- Columbus, GA
- NPI 1255747077
-
dba Midtown Acute Care
- Urgent Care Clinic/Center
- Columbus, GA
- NPI 1821462136
-
- Family Medicine Physician
- Columbus, GA
- NPI 1295159143
Internal Medicine
-
dba St. Francis ENT
- Otolaryngology Physician
- Columbus, GA
- NPI 1962877308
-
- Gastroenterology Physician
- Columbus, GA
- NPI 1609655646
-
- Psychiatry Physician
- Columbus, GA
- NPI 1619129541
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Medical Center
- General Acute Care Hospital
- Columbus, GA
- NPI 1407082308
-
dba St Francis Hospital
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
-
dba Piedmont Columbus Regional Midtown
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.