Individual provider Active NPI

Kateland Bennett, DO

  • Family Medicine Physician
  • Clinton, NC
National Provider Identifier
1326540501
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-00668 Issued in NC
Practice address
607 Beaman St
Clinton, NC 28328-2603
Phone
(910) 596-5421
NPI assigned
Mar 5, 2018
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021-00668 NC Primary

Addresses

Primary practice location

607 Beaman St
Clinton, NC 28328-2603

Mailing address

PO Box 260
Clinton, NC 28329-0260

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kateland-e-bennett@sampsonrps.e-mdsdirect.com Sampson Regional Professional Services LLC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913002382 NC Practitioner - Family Practice 6507262714 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashe Memorial Hospital IncGroup PAC ID 7315912870, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

13300-13290 Hwy 221 S
Fleetwood, NC 28626-0178
Phone (336) 877-9090

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 246-7101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ashe Memorial Hospital Inc Current Accepting new patients
Ashe Memorial Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Ashe Memorial Hospital Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Sampson Regional Professional Services LLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Sampson Regional Professional Services, LLC CurrentSince Jul 1, 2021 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Sampson Regional Hospitalists, LLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Sampson Regional Medical Center Past Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

200 Hospital Ave
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101

301 Main St
Newton Grove, NC 28366
Phone (910) 594-0003

Interoperability endpoints

  • Direct secure messaging: kateland-e-bennett@sampsonrps.e-mdsdirect.com
  • Direct secure messaging: kateland.bennett.1@14562.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1326540501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283290260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-596-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KATELAND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-00668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kateland-e-bennett@sampsonrps.e-mdsdirect.com",
            "affiliation": "Y",
            "affiliationName": "Sampson Regional Professional Services LLC.",
            "address_1": "607 Beaman St",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.