Active NPI
Matrice Benson
- Adult Companion
- Villa Rica, GA
National Provider Identifier
1346994530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 112 Dalton Dr
Villa Rica, GA 30180-7340 - Phone
- (770) 666-1779
- NPI assigned
- Feb 7, 2022
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
112 Dalton Dr
Villa Rica, GA 30180-7340
Mailing address
112 Dalton Dr
Villa Rica, GA 30180-7340
Phone (770) 666-1779
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annointed Angels Homecare LLC | Current | Accepting new patients | |
| West Georgia Diagnostic Testing LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Villa Rica, GA
- NPI 1720792435
-
- In Home Supportive Care Agency
- Defuniak Springs, FL
- NPI 1992404131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1346994530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DALTON DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301807340",
"telephone_number": "770-666-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 DALTON DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301807340",
"telephone_number": "770-666-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "MATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.