Active NPI
Laura Christina Benedit, NP
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1124647250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN235040
- Practice address
- 1405 Clifton Rd NE
Atlanta, GA 30322-8633 - Phone
- (404) 785-6141
- NPI assigned
- Apr 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RN235040 | GA | |
| Nurse Practitioner | 363L00000X | RN235040 | GA | Primary |
Addresses
Primary practice location
1405 Clifton Rd NE
Atlanta, GA 30322-8633
Mailing address
2520 Windy Hill Rd SE Ste 104
Marietta, GA 30067-8633
Other practice location 1
2520 Windy Hill Rd SE Ste 104
Marietta, GA 30067-8633
Phone (678) 501-5601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN235040 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1124647250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 WINDY HILL RD SE STE 104",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303228633",
"telephone_number": "404-785-6141"
}
],
"practiceLocations": [
{
"address_1": "2520 Windy Hill Rd SE Ste 104",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300678633",
"country_code": "US",
"telephone_number": "678-501-5601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENEDIT",
"first_name": "LAURA",
"middle_name": "CHRISTINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "RN235040",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN235040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.