Ray Burnett Bennett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

056526 Issued in GA

Practice address

1325 Commerce Dr
Suite 200
Peachtree City, GA 30269-3582

Phone

(770) 692-7575

Fax

(770) 692-7570

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
• Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
• Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/8327/brand/1/csg/1/fhir/r4
• Direct secure messaging: ray.bennett.1@30781.direct.athenahealth.com
• Direct secure messaging: ray.bennett.1@19873.direct.athenahealth.com

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.

• Wingard Primary Care, LLC

  • Family Medicine Physician
  • Peachtree City, GA
  • NPI 1326387820
  Medicare reassignment NPD Authorized official
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857

  Family Medicine

  Medicare reassignment NPD
• Immediate Care Centers of Georgia, LLC

  • Urgent Care Clinic/Center
  • Tyrone, GA
  • NPI 1689858805
  NPD (past) Authorized official
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273

  Family Medicine

  NPD
• Trilogy Wingard Center LLC

  • Family Medicine Physician
  • Tyrone, GA
  • NPI 1497504310
  NPD (past)
• Health Associates of Western Pennsylvania P C

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1780776294
  NPD (past)
• Private Physicians Medical Practice, LLC

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1619489283
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHMG of Griffin, LLC

  • Home Health Agency
  • Peachtree City, GA
  • NPI 1730119538
  Care Compare affiliation
• Fayette Community Hospital, Inc.

  • General Acute Care Hospital
  • Fayetteville, GA
  • NPI 1528027240
  Care Compare affiliation
• Piedmont Newnan Hospital, Inc.

  • General Acute Care Hospital
  • Newnan, GA
  • NPI 1134133002
  Care Compare affiliation

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1841317138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 COMMERCE DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693582",
            "telephone_number": "770-692-7575",
            "fax_number": "770-692-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COMMERCE DR",
            "address_2": "SUITE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693582",
            "telephone_number": "770-692-7575",
            "fax_number": "770-692-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RAY",
        "middle_name": "BURNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152797525A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Holly Lindsay Bender, M.A., CCC-SLP
• Cheryl Berkey, DPT
• Diana Evans Berman, MSW
• Katherine Rae Best Formel, LCSW
• Bethany Nelson PT DPT LLC
• Punit Bhakta

• Family Medicine Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.

Verify at the official NPI Registry.