Active NPI
Christina Antoinette Benjamin, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Roswell, GA
National Provider Identifier
1245850452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 1570 Holcomb Bridge Rd Ste 205
Roswell, GA 30076-4715 - Phone
- (248) 986-8761
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
1570 Holcomb Bridge Rd Ste 205
Roswell, GA 30076-4715
Mailing address
PO Box 467271
Atlanta, GA 31146-7271
Phone (248) 986-8761
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1245850452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 467271",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311467271",
"telephone_number": "248-986-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 HOLCOMB BRIDGE RD STE 205",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764715",
"telephone_number": "248-986-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "CHRISTINA",
"middle_name": "ANTOINETTE",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.