Individual provider Active NPI

James Benedict, OT

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1407572076
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTO008666 Issued in GA
Practice address
980 Johnson Fy Rd NE Ste 1000
Atlanta, GA 30342-1639
Phone
(404) 255-0226
NPI assigned
Oct 17, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTO008666 GA Primary

Addresses

Primary practice location

980 Johnson Fy Rd NE Ste 1000
Atlanta, GA 30342-1639

Mailing address

980 Johnson Fy Rd NE Ste 1000
Atlanta, GA 30342-1639
Phone (404) 328-4906

Other practice location 1

3400 Old Milton Pkwy # A
Alpharetta, GA 30005-3707
Phone (404) 255-0226

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTO008666GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hand and Upper Extremity Center of Ga, PC CurrentSince Sep 12, 2023 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 350
Alpharetta, GA 30005
Phone (404) 693-9098

980 Johnson Fy Rd NE
Ste 1000
Sandy Springs, GA 30342
Phone (404) 255-0226

980 Johnson Fy Rd NE
Ste 1020
Sandy Springs, GA 30342
Phone (404) 255-0226

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1407572076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FY RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421639",
            "telephone_number": "404-328-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FY RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421639",
            "telephone_number": "404-255-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy # A",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300053707",
            "country_code": "US",
            "telephone_number": "404-255-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "JAMES",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OTO008666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.