Individual provider Active NPI

Bentley Lauren Klein, NP

  • Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1689223851
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN258118 Issued in GA
Practice address
900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667
Phone
(888) 731-8994
NPI assigned
Sep 10, 2019
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN258118 GA Primary

Addresses

Primary practice location

900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667

Mailing address

900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667
Phone (888) 731-8994

Other practice location 1

4000 Faber Place Dr Ste 300
Charleston, SC 29405-8587
Phone (888) 731-8994

Other practice location 2

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200810000757 SC Practitioner - Nurse Practitioner 6204251143 Reassigns benefits to 1 organization
I20231013000828 GA Practitioner - Nurse Practitioner 6204251143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN258118GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Medical LLC CurrentSince Jan 6, 2025 Accepting new patients
Jonathan L Sack, MD, PC CurrentSince Apr 9, 2020 Accepting new patients

Locations

1111 Glynco Pkwy
Ste 10
Brunswick, GA 31525
Phone (912) 264-9111

2 Marshland Rd
Ste 5
Hilton Head Island, SC 29926
Phone (843) 842-2900

Interoperability endpoints

  • Direct secure messaging: bentley.smith.1@27069.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1689223851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD ROSWELL LAKES PKWY STE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768667",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD ROSWELL LAKES PKWY STE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768667",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Faber Place Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294058587",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "BENTLEY",
        "middle_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN258118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.