Ben Hill Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BEN HILL FAMILY MEDICINE

Practice address

708 S Grant St Ste 15
Fitzgerald, GA 31750-5707

Phone

(912) 309-3338

NPI assigned

Dec 13, 2023

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly Denise Graham, FNP-CNPI 1316451735

Title

Nurse Practitioner/Incorporator

Phone

(912) 253-6163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Denise Graham, FNP-C

  • Family Nurse Practitioner
  • Fitzgerald, GA
  • NPI 1316451735
  Medicare reassignment NPD Authorized official
• Robert Darrell Collins, D.O.

  • Cardiovascular Disease Physician
  • Douglas, GA
  • NPI 1447250220
  NPD (past)

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1184492878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317500280",
            "telephone_number": "912-253-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S GRANT ST STE 15",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317505707",
            "telephone_number": "912-309-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN HILL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/INCORPORATOR",
        "authorized_official_telephone_number": "912-253-6163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ankle & Foot Associates, LLC
• Katy Bailey, M.ED, CF-SLP
• Ben Hill County EMS
• Ben Hill County School System
• Ben Hill Emergency Group LLC
• Ben Hill Health Care Center, Inc. (Fitzgerald Nursing Home)
• Ben Hill Mental Retardation Service (The Jessamine Place)
• Ben Hill Physician Services LLC
• Best Hands Services LLC. (Best Hands Services)
• Angela M Bloodworth, NP

• Primary Care Clinic/Center in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.