DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. SARA RUTH BENNETT FNP-BC

MEDICARE: MRS. SARA RUTH BENNETT FNP-BC
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
1363L00000XNurse PractitionerRN165031GA
2363LF0000XFamily Nurse PractitionerRN165031GA
3163WG0000XGeneral Practice Registered NurseRN165031GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104364173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA RUTH BENNETT FNP-BC
Provider Business Mailing Address
First Line : 1975 HIGHWAY 54 W STE 255
Second Line :
City : PEACHTREE CITY
State : GA
Zip : 30269-4794
Country : US
Telephone Number : 770-487-2218
Fax Number : 678-788-6909
Provider Business Practice Location Address
First Line : 865 N HIGHLAND AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4565
Country : US
Telephone Number : 404-733-6089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2017
Last Update Date : 03/23/2023

Similar Medicare Providers

1972592699 — MRS. JACINTA LAKE THOMAS DNP, APRN-C
Practice Location Address:
865 N HIGHLAND AVE NE
ATLANTA, GA
30306-4565
Practice Phone: 404-733-6089
Practice Fax: 612-659-7101
1396729752 — MISS SUSAN JOY WRIGHT FAMILY NURSE PRACTIT
Practice Location Address:
865 N HIGHLAND AVE NE
ATLANTA, GA
30306-4565
Practice Phone: 404-733-6089
Practice Fax:
1801999669 — GEORGIA CVS PHARMACY LLC
Practice Location Address:
865 N HIGHLAND AVE NE
ATLANTA, GA
30306-4565
Practice Phone: 404-733-6089
Practice Fax:
1811134133 — MS. SHARONDA RENEE FORTE NP-C
Practice Location Address:
865 N HIGHLAND AVE NE
ATLANTA, GA
30306-4565
Practice Phone: 866-389-2727
Practice Fax:
1386925469 — DEIDRA SHONDRECE LOWE NURSE PRACTITIONER
Practice Location Address:
865 N HIGHLAND AVE NE
ATLANTA, GA
30306-4565
Practice Phone: 866-389-2727
Practice Fax:
1700245602 — KELSEY MICHELLE JOHNSON FNP-C
Practice Location Address:
865 N HIGHLAND AVE NE
ATLANTA, GA
30306-4565
Practice Phone: 404-733-6089
Practice Fax:

Directions to “ MRS. SARA RUTH BENNETT FNP-BC” 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.