Active NPI
Kateland Bennett, DO
- Family Medicine Physician
- Clinton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021-00668
- Practice address
- 607 Beaman St
Clinton, NC 28328-2603 - Phone
- (910) 596-5421
- NPI assigned
- Mar 5, 2018
- Last updated
- Jul 1, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashe Memorial Hospital Inc | Current | Accepting new patients | |
| Ashe Memorial Hospital Inc | Current | Accepting new patients | |
| Ashe Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Sampson Regional Professional Services LLC | Family Medicine | Current | Accepting new patients |
| Sampson Regional Professional Services, LLC | Current | Accepting new patients | |
| Ashe Memorial Hospital Inc | Current | Accepting new patients | |
| Sampson Regional Hospitalists, LLC | Family Medicine | Current | 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
- kateland-e-bennett@sampsonrps.e-mdsdirect.com
- 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.
-
- Emergency Medicine Physician
- Jefferson, NC
- NPI 1316045800
-
dba Fleetwood Family Medicine
- Family Medicine Physician
- Fleetwood, NC
- NPI 1639757974
-
dba Sampson Family Medicine
- Family Medicine Physician
- Clinton, NC
- NPI 1730311648
-
dba AMH-Mount Jefferson Family Medicine
- Family Medicine Physician
- Jefferson, NC
- NPI 1295193340
-
- Critical Access Hospital
- Jefferson, NC
- NPI 1376671370
-
- Hospitalist Physician
- Jefferson, NC
- NPI 1861592271
-
dba Sampson Surgical Services
- Surgery Physician
- Clinton, NC
- NPI 1760744361
-
- General Acute Care Hospital
- Clinton, NC
- NPI 1609857432
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jefferson, NC
- NPI 1376671370
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
- 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.