Iva Joyce Katon-Benitez, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

002038 Issued in GA

Practice address

South Atlanta Medical Associates, PC
1029 Cleveland Avenue
East Point, GA 30344-6719

Phone

(404) 768-4626

Fax

(404) 768-4631

NPI assigned

Oct 26, 2007

Last updated

Jan 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Covenant Medical Group LLC

  • Pulmonary Disease Physician
  • Marietta, GA
  • NPI 1194235853
  Medicare reassignment NPD
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823
  Medicare reassignment
• Long Term Care Nurse Practitioner Services, LLC

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1235401423
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1184803157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH ATLANTA MEDICAL ASSOCIATES, PC",
            "address_2": "1029 CLEVELAND AVENUE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446719",
            "telephone_number": "404-768-4626",
            "fax_number": "404-768-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH ATLANTA MEDICAL ASSOCIATES, PC",
            "address_2": "1029 CLEVELAND AVENUE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446719",
            "telephone_number": "404-768-4626",
            "fax_number": "404-768-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATON-BENITEZ",
        "first_name": "IVA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "002038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gail Jones, CNM
• Debra Elaine Jordan, D.O.
• Jeremie Josaphat
• Lacell Alexis Joseph, LPC
• Pooja Kamboj, MD
• Jasmine Kendrick
• Jaime Kim, DDS
• Sharon Diane King, NP-C
• Kingsley Agbeyegbe MD
• Kisha Carter DMD PC (BLUSH Dental Studio)

• Surgical Physician Assistant in East Point, GA
• Providers in East Point, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.