Active NPI
Patricia Di Benedetto, DC
- Chiropractor
- Woodstock, GA
National Provider Identifier
1407226426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009478
- Practice address
- 1607 Skyridge Dr
Woodstock, GA 30188-3965 - Phone
- (470) 292-1824
- NPI assigned
- Oct 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009478 | GA | Primary |
Addresses
Primary practice location
1607 Skyridge Dr
Woodstock, GA 30188-3965
Mailing address
PO Box 428
Waleska, GA 30183-0428
Phone (470) 292-1824
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009478 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1407226426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "WALESKA",
"state": "GA",
"postal_code": "301830428",
"telephone_number": "470-292-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 SKYRIDGE DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883965",
"telephone_number": "470-292-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI BENEDETTO",
"first_name": "PATRICIA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.