NPIMap

Individual provider Active NPI

Cecil Fitz Albert Bennett Jr., MD

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1982773610
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
048844 Issued in GA
Practice address
51 Hospital Rd
Newnan, GA 30263-1209
Phone
(770) 251-5540
Fax
(770) 251-5502
NPI assigned
Nov 7, 2006
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GA48844 GA
Family Medicine Physician 207Q00000X 048844 GA Primary

Addresses

Primary practice location

51 Hospital Rd
Newnan, GA 30263-1209

Mailing address

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

Other identifiers 5

IdentifierTypeStateIssuer
0225609OtherGACIGNA
52841180OtherGABCBSGA
000932687AMedicaidGA
08BBWCGOtherGAMEDICARE
7275373OtherGAAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NEWNAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000976 GA Practitioner - Family Practice 2668463654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Primary Care Peachtree, PCGroup PAC ID 1254384720, 2 clinicians

Practice addresses (Care Compare)

110 Lloyd Ave
Tyrone, GA 30290-2124
Phone (770) 486-1200

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048844GAMDFamily Medicine Physician
GA48844GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Focus, PC Family Medicine CurrentSince Jan 2, 2024 Accepting new patients
Newnan Family Medicine Associates PC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Atlanta Primary Care Center, P.C. Family Medicine PastSince Oct 8, 2001 Accepting new patients
Georgia Department of Human Resources Past Accepting new patients
William C. Lambert M.D. Family Medicine PastSince Jan 10, 2018 Accepting new patients

Locations

51 Hospital Rd
Newnan, GA 30263
Phone (770) 251-5540

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1982773610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631209",
            "telephone_number": "770-251-5540",
            "fax_number": "770-487-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631209",
            "telephone_number": "770-251-5540",
            "fax_number": "770-251-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CECIL",
        "middle_name": "FITZ ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA48844",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0225609",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA",
            "identifier": "52841180",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000932687A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "08BBWCG",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7275373",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NEWNAN",
            "affiliation": "N",
            "address_1": "51 Hospital Rd",
            "city": "Newnan",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302631209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.