Active NPI
Kyle Trott Benge, CRNA
- Certified Registered Nurse Anesthetist
- Calhoun, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 275520
- Practice address
- 1035 Red Bud Rd NE
Calhoun, GA 30701-6010 - Phone
- (706) 879-4776
- Fax
- (706) 879-5841
- NPI assigned
- Feb 7, 2018
- Last updated
- Dec 20, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 275520 | GA | Primary |
Addresses
Primary practice location
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003201670A | Medicaid | GA | |
| 003201670B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.79 of 100
- Quality
- 68.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23735 | TN | MD | Cardiovascular Disease Physician |
| 275520 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Georgia Inc | Current | Accepting new patients | |
| Redmond Anesthesia and Pain Treatment, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bradley Anesthesia Services PC | Current | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1972329324
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
- Anesthesiology Physician
- Rome, GA
- NPI 1821350984
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dalton, GA
- NPI 1114545431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1922507706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "30703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 RED BUD RD NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307016010",
"telephone_number": "706-879-4776",
"fax_number": "706-879-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENGE",
"first_name": "KYLE",
"middle_name": "TROTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "275520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003201670A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003201670B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
- Amanda Michelle Bartley, CSFA
- Alycia Bauch, MS, CCC-SLP
- Beautiful Smiles by Design
- Catherine A. Becker-Prather, N.P.C.
- Benchmark Healthcare Services LLC
- Ira Bennett
- Kevin Andrew Benton, PHARM.D.
- Carl Billian, M.D.
- Bio-Medical Applications of Georgia, Inc. (Bma Calhoun)
- Bio-Medical Applications of Georgia, Inc. (Fresenuis Kidney Care Gordon County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.