Anna Benson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

074452 Issued in GA

Practice address

4451 Country Club Rd Ste B
Statesboro, GA 30458-9255

Phone

(912) 871-5437

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mama Doc Pediatrics, LLC

  • Pediatrics Physician
  • Statesboro, GA
  • NPI 1477009181
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1538420534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 COUNTRY CLUB RD STE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 COUNTRY CLUB RD STE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589255",
            "telephone_number": "912-871-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Grady St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585157",
            "country_code": "US",
            "telephone_number": "912-871-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "074452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Roswell Becker, DPM
• Vicki W Beckum, CCC-SLP
• Emily Belson, LAT, ATC
• Catherine Benefield
• Sherri Ann Bennett, BCBA
• Robert Moore Benson Jr., MD
• Zackary L. Bentley, D.M.D.
• Brant Douglas Berkstresser, ATC
• Harsh Bhushan, M.D.
• Big Step Solutions Inc (Big Step)

• Pediatrics Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.