Individual provider Active NPI

Steven Benjamin, MS, RD, CSSD, CSCS

  • Sports Dietetics Nutrition Registered Dietitian
  • Flowery Branch, GA
National Provider Identifier
1962323188
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
License
LD009618 Issued in GA
Practice address
4400 Falcon Pkwy
Flowery Branch, GA 30542-3176
Phone
(216) 952-6319
NPI assigned
Jul 23, 2026
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered Dietitian 133VN1501X LD009618 GA Primary

Addresses

Primary practice location

4400 Falcon Pkwy
Flowery Branch, GA 30542-3176

Mailing address

4400 Falcon Pkwy
Flowery Branch, GA 30542-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1962323188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 FALCON PKWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 FALCON PKWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423176",
            "telephone_number": "216-952-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "STEVEN",
        "credential": "MS, RD, CSSD, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "GA",
            "license": "LD009618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.