KENNETH JAMES BENJAMIN (NPI# 1245344928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245344928 |
| Entity Type | Individual |
| Full Name | KENNETH JAMES BENJAMIN |
| Credential | MD |
| Practice Address |
902 N 7th St Cordele GA 31015-3234 |
| Mailing Address |
Po Box 5007 Cordele GA 31010-5007 |
| Practice Telephone | 2292763325 |
| Mailing Telephone | 2292763325 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 042527 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104007 | Kenneth James Benjamin | Podiatrist | 198 Thomas Johnson Dr, Ste 4, Frederick, MD 21702-4398 | 2005-06-16 |
| 1215419536 | Kenneth Benjamin | Chiropractor | 12550 Biscayne Blvd Ste 404, North Miami, FL 33181-2544 | 2018-09-04 |
| Street Address |
902 N 7TH ST |
| City | CORDELE |
| State | GA |
| Zip Code | 31015-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265424998 | Jamie Michael Atkins | Nurse Anesthetist, Certified Registered | 902 N 7th St, Cordele, GA 31015-3234 | 2005-08-18 |
| 1073125159 | Deanna Mathis Thompson | Nurse Practitioner | 902 N 7th St, Cordele, GA 31015-3234 | 2020-08-19 |
| 1538793724 | Corlynda Jo Bloodworth | Nurse Practitioner | 902 N 7th St, Cordele, GA 31015-3234 | 2020-02-26 |
| 1053960666 | Jenifer Elaine Taylor | Nurse Practitioner | 902 N 7th St, Cordele, GA 31015-3234 | 2019-09-06 |
| 1760954051 | Brittney Leigh Singley | Registered Nurse | 902 N 7th St, Cordele, GA 31015-3270 | 2018-12-26 |
| 1013489871 | Emily Selph King | Dietitian, Registered | 902 N 7th St, Cordele, GA 31015-3270 | 2018-12-18 |
| 1063934388 | Susan Lynn Mccard | Registered Nurse | 902 N 7th St, Cordele, GA 31015-3234 | 2017-07-07 |
| 1194129924 | Crisp Regional Hospital Pharmacy | Pharmacy | 902 N 7th St, Cordele, GA 31015 | 2014-10-22 |
| 1669807202 | Crh Vein Center, LLC | Anesthesiology | 902 N 7th St, Cordele, GA 31015-3234 | 2013-09-12 |
| 1750714010 | Kimberly K Hicks | Dietitian, Registered | 902 N 7th St, Cordele, GA 31015-3234 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023219342 | Adaora I. Osakwe | Emergency Medicine | 902 N. Seventh St., Cordele, GA 31015 | 2007-05-31 |
| 1609843069 | Dale M Lawson | Emergency Medicine | 902 N 7th St, Cordele, GA 31015 | 2006-03-03 |
| 1528035326 | Sheila S Southerland | Emergency Medicine | 902 N 7th St, Cordele, GA 31015 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.