KAYLA BENTON (NPI# 1639606049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639606049 |
| Entity Type | Individual |
| Full Name | KAYLA BENTON |
| Credential | DO |
| Practice Address |
1025 N Main St Cedartown GA 30125-2036 |
| Mailing Address |
304 Shorter Ave Nw Ste 201 Rome GA 30165-4256 |
| Practice Telephone | 7065093278 |
| Mailing Telephone | 7065093300 |
| Mailing Fax Number | 7062927653 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 85437 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 304 Shorter Ave Nw Ste 201, Rome, GA 301654256 | (706) 509-3300 | 7062927653 |
| 1025 N Main St, Cedartown, GA 301252036 | 7065093278 |
| Street Address |
1025 N MAIN ST |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316309735 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 1025 N Main St, Cedartown, GA 30125-2036 | 2016-03-24 |
| 1013276765 | Jacquelyn Cheatham-terry | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2012-05-15 |
| 1841200375 | Kisa W Seymore | Dermatology | 1025 N Main St, Cedartown, GA 30125-2036 | 2006-08-08 |
| 1447272752 | Richard Joseph Dowling | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2006-07-24 |
| 1831134881 | Julaine B Cross | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1497749105 | Janet L Ross | Nurse Practitioner | 1168 N Main St, Cedartown, GA 30125-2039 | 2005-09-08 |
| Find all providers in zip 30125 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376797134 | Marc Owen Wall | Family Medicine | 230 East Ave, Cedartown, GA 30125-3002 | 2008-11-06 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1144241944 | Robert J Pezzin | Family Medicine | 102 Wiley Dr, Cedartown, GA 30125-2259 | 2006-07-21 |
| 1013276765 | Jacquelyn Cheatham-terry | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2012-05-15 |
| 1649539040 | Karen Ann Eberhart | Family Medicine | 14 Cherokee Rd, Cedartown, GA 30125-4381 | 2012-05-07 |
| 1255605416 | General Medicine, Inc | Family Medicine | 230 East Ave, Cedartown, GA 30125-3002 | 2012-03-05 |
| 1003110743 | Shelle Rae Glover | Family Medicine | 2370 Rockmart Hwy, Cedartown, GA 30125-6029 | 2011-01-10 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1093870313 | Robert Clinton Pyle | Family Medicine | 14 Cherokee Rd, Cedartown, GA 30125-4381 | 2006-12-27 |
| 1093870354 | Todd Hunter Robinson | Family Medicine | 14 Cherokee Rd, Cedartown, GA 30125-4381 | 2006-12-27 |
| Find all providers in CEDARTOWN | ||||
Please comment or provide details below to improve the information on KAYLA BENTON.
| 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.