Active NPI
Benitra Tripp, NP
- Nurse Practitioner
- Covington, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG04190072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| AG04190072 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartley Health and Wellness Associates, LLC | Current | Accepting new patients | |
| Curana Health of Georgia LLC | Nurse Practitioner | Current | Accepting new patients |
| Creative Hospice Care Inc | Current | Accepting new patients | |
| MSN Nursing Agency LLC | Current | Accepting new patients | |
| Curana Health Medical Group LLC | Nurse Practitioner | Current | Accepting new patients |
| CH Specialty Services Ga LLC | Current | Accepting new patients | |
| Transitional Care Physicians of Georgia PC | Current | Accepting new patients | |
| Creative Hospice Care, Inc | Past | 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
- 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.
-
- Internal Medicine Physician
- Austin, TX
- NPI 1255640678
GA, Nurse Practitioner
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1043605314
GA, Nurse Practitioner
-
- Nursing Care Agency
- Conyers, GA
- NPI 1134921950
-
- Community Based Hospice Care Agency
- Bogart, GA
- NPI 1326330010
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.