MEDICARE: SAMUEL BENNETT CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN-NP296584	GA

General Provider Information

NPI Number	:	1255192944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL BENNETT CNP

Provider Business Mailing Address
First Line	:	340 N MILLEDGE AVE STE B
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30601-3806
Country	:	US
Telephone Number	:	706-548-0008
Fax Number	:	706-369-9673

Provider Business Practice Location Address
First Line	:	1305 JENNINGS MILL RD STE 260
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-7307
Country	:	US
Telephone Number	:	706-548-0008
Fax Number	:	706-369-9673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	10/09/2025

Similar Medicare Providers

1164184099 — RESTORE METABOLIX WATKINSVILLE LLC
Practice Location Address:

1741 HOG MOUNTAIN ROAD , BUILDING 200C
WATKINSVILLE, GA
30677

Practice Phone: 706-715-3287
Practice Fax:

1679000459 — MRS. JAMIE NICOLE MCCART N.P.
Practice Location Address:

1357 OCONEE CONNECTOR BLDG 100
WATKINSVILLE, GA
30677-7312

Practice Phone: 706-389-9228
Practice Fax: 678-666-5201

1972750610 — DR. J. KENNETH COOK D.C.
Practice Location Address:

1050 BARBER CREEK DR BLDG 200
WATKINSVILLE, GA
30677-4500

Practice Phone: 706-548-8984
Practice Fax: 706-383-7781

1962947143 — DR. J. KENNETH COOK, PC
Practice Location Address:

1050 BARBER CREEK DR STE 200
WATKINSVILLE, GA
30677-4502

Practice Phone: 706-548-8984
Practice Fax: 706-383-7781

1669040820 — CLASSIC CITY CHIROPRACTIC, PC
Practice Location Address:

1050 BARBER CREEK DR STE 200
WATKINSVILLE, GA
30677-4502

Practice Phone: 715-218-3478
Practice Fax:

1497392369 — DR. CHRISTOPHER LAMMERT DC
Practice Location Address:

1050 BARBER CREEK DR STE 200
WATKINSVILLE, GA
30677-4502

Practice Phone: 715-218-3478
Practice Fax:

Directions to “ SAMUEL BENNETT CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.