Mark a Benak MD PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MARK A BENAK MD PC

Doing business as

Vein Guys South

Practice address

4350 Towne Centre Dr
Suite 2000
Evans, GA 30809-3301

Phone

(706) 854-3333

Fax

(706) 854-2149

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Kelly Vann

Title

Ceo

Phone

(706) 854-2138

Specialties & licenses 1

Addresses

Other names 1

• Vein Guys South Doing business as

Locations

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1790123206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR",
            "address_2": "SUITE 2000",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-854-3333",
            "fax_number": "706-854-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR",
            "address_2": "SUITE 2000",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-854-3333",
            "fax_number": "706-854-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A BENAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-854-2138"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Guys South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Levi Hankwale Makala, DVM, MBA, MAT, PHD
• Nathaniel J Malo, DPT
• Lillian Mann
• Logan Taylor Manning
• Andrea Lynn Manus, LCSW
• Rachel S Marshall, PHRMD
• Erica Evans Martin, PA-C
• John Butler Martin, LCSW, MAC
• Kayleigh Martinez, RBT
• Saintete' Carter Martinez, DOULA

• Vascular Surgery Physician in Evans, GA
• Providers in Evans, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.