Individual provider Active NPI

Hannah Christine Bennett, FNP

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1467236232
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN294716 Issued in GA
Practice address
808 Beacon St
Waycross, GA 31501-7104
Phone
(912) 490-4325
Fax
(912) 490-2873
NPI assigned
Aug 23, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN294716 GA Primary

Addresses

Primary practice location

808 Beacon St
Waycross, GA 31501-7104

Mailing address

808 Beacon St
Waycross, GA 31501-7104
Phone (912) 490-4325

Other practice location 1

21300 US Highway 82 Ste C
Waynesville, GA 31566-3862
Phone (912) 778-3556 ext. 5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013000741 GA Practitioner - Nurse Practitioner 1951756790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Ellis St
Brunswick, GA 31520-6737
Phone (912) 275-8028

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Aug 29, 2023 Accepting new patients
Coastal Community Health Services Inc CurrentSince Aug 29, 2023 Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services Inc Past Accepting new patients

Locations

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Brunswick, GA 31525
Phone (912) 265-7660

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-1626

10804 Highway 82
Nahunta, GA 31553
Phone (912) 342-7281

21300 Highway 82
Waynesville, GA 31566

21300 US Highway 82
Ste C
Waynesville, GA 31566
Phone (912) 778-3556

308 Bedell Ave
Woodbine, GA 31569
Phone (912) 576-5506

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1467236232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21300 US Highway 82 Ste C",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "GA",
            "postal_code": "315663862",
            "country_code": "US",
            "telephone_number": "912-778-3556 x5102",
            "fax_number": "912-210-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "HANNAH",
        "middle_name": "CHRISTINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN294716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.