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

1578555876 — DR. DANA JUNE HOGAN MD
Practice Location Address:

1800 HOG MOUNTAIN RD BLDG 200 STE 101
WATKINSVILLE, GA
30677-1935

Practice Phone: 706-769-9410
Practice Fax: 706-769-9475

1992653992 — WATKINSVILLE OCONEE ENDOSCOPY LLC
Practice Location Address:

1360 CADUCEUS WAY BLDG 700
WATKINSVILLE, GA
30677-7300

Practice Phone: 404-888-7575
Practice Fax:

1124973698 — MIRANDA LYNN BIEBER
Practice Location Address:

1060 EXPERIMENT STATION RD
WATKINSVILLE, GA
30677-5323

Practice Phone: 706-769-3983
Practice Fax: 706-769-3913

1356170625 — CHRISTINA ADELAIDE TIPTON PA
Practice Location Address:

1050 THOMAS AVE
WATKINSVILLE, GA
30677-6071

Practice Phone: 877-231-3376
Practice Fax: 850-522-8354

1841299187 — TRINITY HOME HEALTH SERVICES
Practice Location Address:

1021 JAMESTOWN BLVD STE 219
WATKINSVILLE, GA
30677-4176

Practice Phone: 706-389-2273
Practice Fax: 706-389-2298

1447242623 — TRINITY HOME HEALTH SERVICES
Practice Location Address:

1021 JAMESTOWN BLVD STE 219
WATKINSVILLE, GA
30677-4176

Practice Phone: 706-389-2273
Practice Fax: 706-208-8883

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.