DR. BENJAMIN CHASE JESSIE (NPI# 1700062825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700062825 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN CHASE JESSIE |
| Credential | MD |
| Practice Address |
504 Redmond Rd Nw Rome GA 30165-1416 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7622352200 |
| Practice Fax Number | 7062366434 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 060645 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 878725603B | 05 | |
| GA | 878725603A | 05 |
| Street Address |
504 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676041 | Karen Jean Roberts | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-08-15 |
| 1003426537 | Hilarie Hincy Rankin | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2020-08-10 |
| 1689299000 | Phebe Nicole Hagins Wright | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2020-06-11 |
| 1124688270 | Zachary Carl Whitener | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-06-19 |
| 1255805180 | Amanda Lynn Preteroti | Physician Assistant | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-01-14 |
| 1245700731 | Marenda Celie Russell | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-11-28 |
| 1952870164 | Redmond Specialty Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-11-16 |
| 1568958429 | Lori Ann Brady | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-07-03 |
| 1558869404 | Robbie Leah Skinner | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-01-25 |
| 1477928448 | Tosha Michelle White | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2015-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082124 | Larry Hugh Formby | Urology | 1013 N 5th Ave Ne, Ste One, Rome, GA 30165-2664 | 2005-09-01 |
| 1083962443 | Rome Medical Practice P.C. | Urology | 107 E Chestnut St, Suite 102, Rome, NY 13440-2834 | 2012-08-16 |
| 1487938635 | Associated Medical Professionals of Ny, Pllc | Urology | 1617 N James St, Suite 300, Rome, NY 13440-2852 | 2011-10-06 |
| 1700109956 | Associated Medical Professionals of Ny, Pllc | Urology | 1617 N James St, Suite 900, Rome, NY 13440-2852 | 2010-03-02 |
| 1336204528 | Forrest Franklin Schrum IIi | Urology | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-27 |
| 1487715801 | William Barritt Gilbert | Urology | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-12 |
| 1992865257 | James Montgomery Crane | Urology | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820576 | Advanced Urology Institute of Georgia PC | Urology | 2205 Riverstone Blvd Ste 101, Canton, GA 30114-5250 | 2020-04-23 |
| 1093369795 | Georgia Urology, Pa | Urology | 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 | 2019-07-31 |
| 1790248953 | Michael Oberle | Urology | 1120 15th St Rm Baa 8415, Augusta, GA 30912-4050 | 2019-04-12 |
| 1598220915 | Effingham Urology, LLC | Urology | 613 Towne Park Dr W Ste 204, Rincon, GA 31326-5183 | 2019-02-11 |
| 1275008351 | Center for Special Surgery LLC | Urology | 11660 Alpharetta Hwy Ste 720, Roswell, GA 30076-4916 | 2018-10-04 |
| 1295200426 | Paul Edward Henson Jr. | Urology | 1837 Wood Valley Dr, Dalton, GA 30720-3846 | 2018-10-03 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
| 1922597517 | Wguasc, LLC | Urology | 150 Clinic Ave Ste 203, Carrollton, GA 30117-4402 | 2018-05-09 |
| 1841788395 | Houston Physician Specialists, LLC | Urology | 233 N Houston Rd Ste 100, Warner Robins, GA 31093-8944 | 2018-04-30 |
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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.