PEGGY BENOIT (NPI# 1790959799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790959799 |
| Entity Type | Individual |
| Full Name | PEGGY BENOIT |
| Credential | LPN |
| Practice Address |
Commander Ddeamc Connelly Heath Clinic Attn: Mchf-dfcm-chc Fort Gordon GA 30905-5650 |
| Mailing Address |
444 Madison Street Grovetown GA 30813 |
| Practice Telephone | 7067875143 |
| Mailing Telephone | 7069100056 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 074112 | GA | Nursing Service Providers |
| Street Address |
COMMANDER DDEAMC CONNELLY HEATH CLINIC ATTN: MCHF-DFCM-CHC |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114191020 | Pamela Denise Newton-hudson | Licensed Practical Nurse | 300 Bldg, Fort Gordon, GA 30905-5650 | 2008-04-22 |
| 1396918405 | Jacqueline James | Licensed Practical Nurse | 300 W Hospital Rd # Macf, Fort Gordon, GA 30905-5741 | 2008-04-09 |
| 1205028545 | Tonia Lynn Manley | Licensed Practical Nurse | 38th Street Building 38707, Fort Gordon, GA 30815 | 2007-08-10 |
| 1669857918 | Muriel Gibbons | Licensed Practical Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2015-07-29 |
| 1629453980 | Sally Mulholland | Licensed Practical Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2015-07-28 |
| 1770968141 | Stanley Ash | Licensed Practical Nurse | 300 W Hospital Rd, Interdiscplinary Pain Management Center, Fort Gordon, GA 30905-5741 | 2015-07-27 |
| 1326423856 | Monica Salinas Richards | Licensed Practical Nurse | 300 W Hospital Rd, Interdisciplinary Pain Management Center, Fort Gordon, GA 30905-5741 | 2015-07-27 |
| 1770742470 | Lashawne Renee Moore | Licensed Practical Nurse | 300 W Hospital Rd Rm 11c17, Attn: Office of Graduate Medical Education, Fort Gordon, GA 30905-5741 | 2008-06-06 |
| 1144488818 | Trelawney Malone Gleaves | Licensed Practical Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2008-05-29 |
| 1407014772 | Karen D Young | Licensed Practical Nurse | 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | 2008-05-23 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
Please comment or provide details below to improve the information on PEGGY BENOIT.
| 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.