Kimbley Bennett, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN183629 Issued in GA

Practice address

5900 River Rd Ste 400
Columbus, GA 31904-4663

Phone

(706) 596-1245

Fax

(706) 576-4245

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Internal Medicine Associates of Columbus, LLC

  • Specialist
  • Columbus, GA
  • NPI 1861576514
  Medicare reassignment NPD
• Pulmonary Medicine Inc

  • Pulmonary Disease Physician
  • Columbus, GA
  • NPI 1043270697
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1578080784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 RIVER RD STE 400",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044663",
            "telephone_number": "706-596-1245",
            "fax_number": "706-576-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 RIVER RD STE 400",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044663",
            "telephone_number": "706-596-1245",
            "fax_number": "706-576-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KIMBLEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN183629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Lisa Bennett- Gittens, M.D.
• Destini Bennett, RBT
• Dianne Bennett
• Elisa Maria Bennett, RBT
• Judith Cecile Bennett, M.D.
• Melinda Bennett
• Benning Hospitalist Services, LLC
• Oneisha Benning
• Rachel Benoit, PA-C
• Corey Benson

• Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.