Eric Benning, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

033527 Issued in GA

Practice address

1747 Buckhead Valley LN NE
Atlanta, GA 30324-2794

Phone

(404) 272-6391

Fax

(404) 320-3009

NPI assigned

Oct 6, 2005

Last updated

Jan 20, 2016By the provider in NPPES

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

Internal Medicine

Education

Meharry Medical College School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southside Medical Center, Inc.Group PAC ID 6901700723, 12 clinicians

Four Corners Primary Care Centers, Inc.Group PAC ID 1951497494, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: eric.benning.p1@direct.smcmed.nextgenshare.com

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.

• Four Corners Primary Care Centers Inc

  dba Four Corners @ VPH

  • Federally Qualified Health Center (FQHC)
  • Norcross, GA
  • NPI 1265624548
  Medicare reassignment Care Compare group
• Southside Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1235123993
  Medicare reassignment Care Compare group
• Four Corners Primary Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrenceville, GA
  • NPI 1356682959
  NPD (past)
• Fulton County Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1437299625
  NPD (past)
• Fulton County Mhddad

  dba West Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1285700682
  NPD (past)
• South Fulton Health Center

  • Public Health or Welfare Agency
  • Atlanta, GA
  • NPI 1043356280
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1932196755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 BUCKHEAD VALLEY LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303242794",
            "telephone_number": "404-272-6391",
            "fax_number": "404-320-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 BUCKHEAD VALLEY LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303242794",
            "telephone_number": "404-272-6391",
            "fax_number": "404-320-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNING",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "033527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000478464H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Bennett, PT, DPT
• Trexler Andrew Bennett
• Danielle Bennetti
• Jordan Taylor Bennie
• Peter Bennie Jr., PA
• Angus Nagamura Bennion
• Luke J Beno, MD
• Antonina Benoit
• Carmen Marie Benoit, P.A.
• Peter W Benoit, DMD

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.