Ellen Mary Benson, MSN, APRN, BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN110079 Issued in GA

Practice address

762 Weybourne CT
Marietta, GA 30066-4804

Phone

(404) 242-1962

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Senior Psych Solutions Corp

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1225078629
  NPD (past)
• Wellstar Medical Group, LLC

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1629361605
  NPD (past)
• Wellstar Psychiatry, LLC

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1619921376
  NPD (past)
• Riley Psychiatric Services Inc

  • Psychiatric/Mental Health Registered Nurse
  • Pinopolis, SC
  • NPI 1073689576
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1417119199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 WEYBOURNE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664804",
            "telephone_number": "404-242-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 WEYBOURNE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664804",
            "telephone_number": "404-242-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ELLEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN110079",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN110079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Bennett, LMSW
• Prosperity Bennett
• Sarah Bennett, RBT
• Stacy Bennett, MACCC-SLP
• Alivia Benson, OTR/L
• Andrew Michael Benton, DPT, PT
• Allison Michelle Berard, PA-C
• Joel Edward Berenson, MD
• Gabriela Bergamin, RBT
• Ulf Agustin Berge, D.D.S.

• All providers in Marietta, GA
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.