Carol Bennett

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1341 Dragonfly Way
Watkinsville, GA 30677-4634

Phone

(706) 461-4604

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBGEBD

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.

• Ashford Pain Solutions, LLC

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  • Athens, GA
  • NPI 1689178170
  NPD
• Hawthorne OB/GYN LLC

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1487525820
  NPD

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1780055442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 DRAGONFLY WAY",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774634",
            "telephone_number": "706-461-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 DRAGONFLY WAY",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774634",
            "telephone_number": "706-461-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bedingfield, LMSW
• Samuel Belknap
• Catherine Elizabeth Bell, LPC
• Bellhouse Senior Solutions, LLC (Home Instead)
• Elizabeth Bennet, RBT
• Samuel Bennett, CNP
• George Edward Berbessi, DC
• Bethel Haven Inc.
• Bethel Haven, Inc
• Miranda Lynn Bieber

• Contractor in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.