Madison Bennett
Individual provider Active NPI Critical Care Medicine Registered Nurse · Gray, GA
NPI 1487486809 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1487486809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- RN323341 (GA)
- Practice address
- 131 Sand Creek TRL
Gray, GA 31032-4801 - Phone
- (478) 234-4180
- NPI assigned
- Aug 14, 2024
- 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 |
|---|---|---|---|
| RN323341 | GA | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN323341 | GA | Yes |
Addresses
Primary practice location
131 Sand Creek TRL
Gray, GA 31032-4801
Mailing address
131 Sand Creek TRL
Gray, GA 31032-4801
Other providers in Gray, GA
- Aml Medical LLC
- Meredi A Anders
- Linda S Arnold
- Azalea Medical Transport LLC
- Andrew L Barrett
- Kimberly Lynn Bershadsky
- Dionna Best
- Wyatt Kenny Blake
- Lindsey Janae Bray
- Melissa Day Brown
All providers in Gray, GA · Critical Care Medicine Registered Nurse 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 14, 2024. 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.