Michael Alexander Benfield, PA

Individual provider Active NPI Surgical Physician Assistant · Gainesville, GA

NPI 1134546252 · NPPES record last updated Oct 18, 2023

Key facts

NPI
1134546252
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
11670 (GA)
Practice address
1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875
Phone
(770) 848-6190
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Physicians Group Inc (884 clinicians)

Practice addresses (Care Compare)

108 Prominence CT
Dawsonville, GA 30534-6340

1315 Jesse Jewell Pkwy NE
Gainesville, GA 30501-3822

2578 Helen Hwy
Cleveland, GA 30528-2848
Phone (706) 212-0180

495 Hwy 400
Dahlonega, GA 30533-6823
Phone (706) 867-4110

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501-3715

PO Box
Suite 1060
Oakwood, GA 30566-0018

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital · Gainesville, GA · CCN 110029
  • Northeast Georgia Medical Center Lumpkin Hospital · Dahlonega, GA · CCN 110237
  • Northeast Georgia Medical Center Habersham Hospital · Demorest, GA · CCN 110041
  • Union General Hospital Hospital · Blairsville, GA · CCN 110051

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100 (group)
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230719001645 GA Practitioner - Physician Assistant 0547620791 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11670GAMDProcedural Dermatology Physician
AT002249GAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X AT002249 GA
Surgical Physician Assistant 363AS0400X 11670 GA Yes

Addresses

Primary practice location

1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

59 Executive Park S
Suite 2000
Atlanta, GA 30329-2208
Phone (404) 778-6977

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mbenfield139458@nghs.gadirect.net Direct

Other providers in Gainesville, GA

All providers in Gainesville, GA · Surgical Physician Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.