KEVIN BENJAMIN JETT (NPI# 1396126157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396126157 |
| Entity Type | Individual |
| Full Name | KEVIN BENJAMIN JETT |
| Credential | D.M.D. |
| Practice Address |
1430 John Wesley Gilbert Drive Augusta GA 30912-2431 |
| Practice Telephone | 7067212251 |
| Practice Fax Number | 7067212251 |
| Mailing Telephone | 8037993368 |
| Mailing Fax Number | 7067212251 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 8557 | SC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399769 | Kevin Jett | Counselor | 26 Father Joe Murphy Dr, Shawnee, OK 74801-8663 | 2007-03-05 |
| Street Address |
1430 JOHN WESLEY GILBERT DRIVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978927 | Andrew Robert Kious | Dentist | 1430 John Wesley Gilbert Drive, Ghsu College of Dental Medicine, Augusta, GA 30912 | 2005-11-07 |
| 1801421268 | Cassandra Nicole Liston | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-03-05 |
| 1710511738 | Amara Altman | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Dental College of Georgia, Augusta, GA 30909 | 2020-02-28 |
| 1316571318 | Macy Malcom Copelan | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-27 |
| 1447884770 | Shane Mitchell Turgeon | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1295368918 | Jackie Janzen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-20 |
| 1275195984 | Anh Nguyen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 | 2019-07-02 |
| 1508328824 | Skylar Yearous | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, College of Dental Medicine Pedodontics - Gc 2116, Augusta, GA 30901 | 2019-04-04 |
| 1659832657 | Mahmoud Elashiry | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2019-03-31 |
| 1942761267 | Eric Hatten | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336764851 | Joseph Pansius | Student in an Organized Health Care Education/Training Program | 1465 Laney Walker Blvd Bldg Af-1040, Augusta, GA 30912-0002 | 2020-06-10 |
| 1093339517 | Daniel Jason Garcia | Student in an Organized Health Care Education/Training Program | 1040 Alexander Dr Apt 6323, Augusta, GA 30909-0291 | 2020-06-01 |
| 1922633643 | Miki Christine Hayashi | Student in an Organized Health Care Education/Training Program | 1120 15th Street Augusta, Augusta, GA 30912-0001 | 2020-03-03 |
| 1578195277 | Joseph Nelson Eddy | Student in an Organized Health Care Education/Training Program | 430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-10 |
| 1669035960 | Katherine Arenella | Student in an Organized Health Care Education/Training Program | 1 Freedom Way # 21, Augusta, GA 30904-6258 | 2019-04-22 |
| 1881257152 | Walker Barmore | Student in an Organized Health Care Education/Training Program | Augusta University 1120 15th St Bi5070, Augusta, GA 30912-0001 | 2019-04-22 |
| 1255892253 | Jennifer Bates | Student in an Organized Health Care Education/Training Program | 1120 15th St # Gc5119, Augusta, GA 30912-0004 | 2019-03-31 |
| 1861950768 | Ila Steinke | Student in an Organized Health Care Education/Training Program | S9259 County Road V, Augusta, WI 54722 | 2019-03-09 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1609334820 | Ashley Alexandra Pater | Student in an Organized Health Care Education/Training Program | Augusta University 1120 15th Street Gc 5110, Augusta, GA 30912-0001 | 2019-03-06 |
| Find all providers in AUGUSTA | ||||
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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.