Individual provider Active NPI

Benitra Tripp, NP

  • Nurse Practitioner
  • Covington, GA
National Provider Identifier
1821637331
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG04190072 Issued in GA
Practice address
75 Camerons Way
Covington, GA 30016-1163
Phone
(678) 361-3800
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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 AG04190072 GA Primary

Addresses

Primary practice location

75 Camerons Way
Covington, GA 30016-1163

Mailing address

75 Camerons Way
Covington, GA 30016-1163
Phone (678) 361-3800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201209003028 GA Practitioner - Nurse Practitioner 5890107163 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians

Practice addresses (Care Compare)

2541 Milledgeville Rd
Augusta, GA 30904-4954
Phone (737) 226-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG04190072GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartley Health and Wellness Associates, LLC CurrentSince Mar 29, 2024 Accepting new patients
Curana Health of Georgia LLC Nurse Practitioner CurrentSince Aug 5, 2025 Accepting new patients
Creative Hospice Care Inc CurrentSince Sep 1, 2022 Accepting new patients
MSN Nursing Agency LLC CurrentSince Mar 30, 2025 Accepting new patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Aug 5, 2025 Accepting new patients
CH Specialty Services Ga LLC CurrentSince Aug 5, 2025 Accepting new patients
Transitional Care Physicians of Georgia PC CurrentSince Aug 18, 2021 Accepting new patients
Creative Hospice Care, Inc PastSince Jan 17, 2022 Accepting new patients

Locations

3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326
Phone (470) 682-3536

2541 Milledgeville Rd
Augusta, GA 30904
Phone (706) 735-2581

1561 Lenru Rd
Ste A
Bogart, GA 30622
Phone (706) 548-8444

2000 Village Professional Dr
Ste 110
Canton, GA 30114
Phone (678) 880-6698

2274 Salem Rd SE
Conyers, GA 30013
Phone (404) 974-6578

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1821637331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CAMERONS WAY",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161163",
            "telephone_number": "678-361-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CAMERONS WAY",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161163",
            "telephone_number": "678-361-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "BENITRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "AG04190072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.