CORNELIA BENOIT (NPI# 1700250107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700250107 |
| Entity Type | Individual |
| Full Name | CORNELIA BENOIT |
| Credential | FNP-BC |
| Practice Address |
702 W Main St Gibson GA 30810-4014 |
| Mailing Address |
950 Laney Walker Blvd Augusta GA 30901-2960 |
| Practice Telephone | 7065983359 |
| Practice Fax Number | 4788641288 |
| Mailing Telephone | (706) 721-5931 |
| Mailing Fax Number | 7067215945 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN186686 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA LICENSE | RN186686 | 01 |
| Street Address |
702 W MAIN ST |
| City | GIBSON |
| State | GA |
| Zip Code | 30810-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1083665285 | Glascock County Board of Health | Public Health or Welfare | 658 W Main St, Gibson, GA 30810-4013 | 2006-05-12 |
| 1245400969 | Community Health Care Systems, Inc. | Clinic/Center | 702 West Main St, Gibson, GA 30810-4135 | 2008-03-10 |
| 1508145822 | Debbie B Williford | Massage Therapist | 43 East Main Street, Gibson, GA 30810-4200 | 2011-08-04 |
| 1972597847 | Glascock County Health Care LLC | Skilled Nursing Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-07 |
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205101177 | Dana Durst Pittman | Speech-Language Pathologist | 4667 Bayou Black Dr, Gibson, LA 70356-3312 | 2012-03-12 |
| 1245400969 | Community Health Care Systems, Inc. | Clinic/Center | 702 West Main St, Gibson, GA 30810-4135 | 2008-03-10 |
| 1285763805 | Family Alternatives, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13880 Francis St, Gibson, NC 28343-8360 | 2007-03-02 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1083665285 | Glascock County Board of Health | Public Health or Welfare | 658 W Main St, Gibson, GA 30810-4013 | 2006-05-12 |
| 1972597847 | Glascock County Health Care LLC | Skilled Nursing Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-07 |
| 1609175595 | Rha Health Services Nc, LLC | Community/Behavioral Health | 13880 Francis St, Gibson, NC 28343-8360 | 2011-03-18 |
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| Find all providers in GIBSON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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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.