Kateland Bennett, DO
Individual provider Active NPI Family Medicine Physician · Clinton, NC
NPI 1326540501 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1326540501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2021-00668 (NC)
- Practice address
- 607 Beaman St
Clinton, NC 28328-2603 - Phone
- (910) 596-5421
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- Ashe Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210913002382 | NC | Practitioner - Family Practice | 6507262714 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-00668 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 | |
| Ashe Memorial Hospital Inc | Family Medicine | Current |
Accepting new patients |
| Sampson Regional Hospitalists, LLC | Family Medicine | Current |
Accepting new patients |
| Ashe Memorial Hospital Inc | Current |
Accepting new patients | |
| Ashe Memorial Hospital Inc | 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
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101
200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021-00668 | NC | Yes |
Addresses
Primary practice location
607 Beaman St
Clinton, NC 28328-2603
Mailing address
PO Box 260
Clinton, NC 28329-0260
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kateland-e-bennett@sampsonrps.e-mdsdirect.com | Sampson Regional Professional Services LLC. |
Other providers in Clinton, NC
- Jeffrey Gordon Bell
- Warren Joe Bell
- David B. Benner
- Dawn B. Benner
- Jordan Benner
- Lesley Best
- Mariah Barefoot Best
- Gurvinder Singh Bhatti
- Angela Lynne Binkowski
- Bio-Medical Applications of Clinton, Inc.
All providers in Clinton, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.