Active NPI
Benedict B Benigno, M.D.
- Gynecologic Oncology Physician
- Atlanta, GA
National Provider Identifier
1205802733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 017010
- Practice address
- 980 Johnson Fy Rd NE
Suite 130
Atlanta, GA 30342-1626 - Phone
- (404) 300-2990
- Fax
- (404) 300-2986
- NPI assigned
- Feb 24, 2006
- Last updated
- Jan 11, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 017010 | GA | Primary |
Addresses
Primary practice location
980 Johnson Fy Rd NE
Suite 130
Atlanta, GA 30342-1626
Mailing address
980 Johnson Fy Rd NE
Suite 130
Atlanta, GA 30342-1626
Phone (404) 300-2990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000007246F | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017010 | GA | MD | Gynecologic Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1205802733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 JOHNSON FY RD NE",
"address_2": "SUITE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-300-2990",
"fax_number": "404-300-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 JOHNSON FY RD NE",
"address_2": "SUITE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-300-2990",
"fax_number": "404-300-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENIGNO",
"first_name": "BENEDICT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "GA",
"license": "017010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000007246F",
"state": "GA"
}
],
"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 Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.