Aja Nicole Benn, LAT, ATC
Individual provider Active NPI Athletic Trainer · Brookhaven, GA
NPI 1467065441 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1467065441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT001613 (GA)
- Practice address
- 1968 Hawks LN NE Ste 200
Brookhaven, GA 30329-2283 - Phone
- (404) 778-3350
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001613 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001613 | GA | Yes |
Addresses
Primary practice location
1968 Hawks LN NE Ste 200
Brookhaven, GA 30329-2283
Mailing address
1003 Eastwood Village Dr
Stockbridge, GA 30281-7752
Phone (470) 219-0642
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aja.benn@emoryhealthcare.org | Direct |
Other providers in Brookhaven, GA
- Carla R. Bauer
- Sharon Belhamel
- Ayanna Belvy
- Amanda Celeste Benes
- Terrilyn Benford-Rice
- Lyric Bennett
- Trent Bergeson
- Stephanie Brooke Best
- Bestcare Now LLC
- Bakari Bethea
All providers in Brookhaven, GA · Athletic Trainer in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.