Kenneth J Benjamin
SOUTHLAND CONSOLIDATED EMERGENCY SERVICES LLC


Address: 1500 E Shotwell St, Bainbridge, GA 39819-4256
Phone: 2292463500

Kenneth J Benjamin (NPI# 1245344928, PAC ID# 7315841210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1245344928
PAC ID by PECOS 7315841210
Professional Enrollment ID I20031121000774
Full Name Kenneth J Benjamin
Organization Legal Name SOUTHLAND CONSOLIDATED EMERGENCY SERVICES LLC
Address 1500 E Shotwell St
Bainbridge
GA 39819-4256
Phone Number 2292463500
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 1990
Primary Specialty EMERGENCY MEDICINE
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 2860792066
Number of Group Practice Members 13
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110104 CRISP REGIONAL HOSPITAL
111331 MITCHELL COUNTY HOSPITAL
110132 MEMORIAL HOSPITAL AND MANOR

Other Locations

Address Phone Organization
1500 E Shotwell St, Bainbridge, GA 39819-4256 2292463500 SOUTHLAND CONSOLIDATED EMERGENCY SERVICES LLC
902 N 7th St, Cordele, GA 31015-3234 2292763100 CRISP REGIONAL HOSPITAL INC

Organization Information

Organization Legal Name SOUTHLAND CONSOLIDATED EMERGENCY SERVICES LLC
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Julie Youngblood Nurse Practitioner Southland Consolidated Emergency Services LLC 4 Medical Dr, Elberton, GA 30635-1830
Theodore L Yarboro Jr. Family Medicine Southland Consolidated Emergency Services LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256
Linda S Jones Emergency Medicine Southland Consolidated Emergency Services LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256
Brett A Magner Family Medicine Southland Consolidated Emergency Services LLC 4 Medical Dr, Elberton, GA 30635-1830
Khaldoon J Al-moosawi Family Medicine Southland Consolidated Emergency Services LLC 4 Medical Dr, Elberton, GA 30635-1830
Eric M Lehman General Surgery Southland Consolidated Emergency Services LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256

Office Location

Street Address 1500 E SHOTWELL ST
City BAINBRIDGE
State GA
Zip 39819-4256

Physicians in the same location

Name Specialty Organization Address
Melanie Woods Nurse Practitioner Southland Bainbridge Hospitalist Group LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256
Prashant Baliga Internal Medicine Southland Bainbridge Hospitalist Group LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256
George Joseph Myers General Surgery Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Thomas H Parker Jr. Anesthesiology Bainbridge Anesthesiology, PC 1500 E Shotwell St, Bainbridge, GA 39819-4294
Theodore L Yarboro Jr. Family Medicine Southland Consolidated Emergency Services LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256
Lisa Caiafa Nurse Practitioner Georgia Em-i Medical Services, PC 1500 E Shotwell St, Bainbridge, GA 39819-4256
Wesley Kyle Kelley Nurse Practitioner Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Charles A Walker General Surgery Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Angela F Tyus Nurse Practitioner Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Aric J Aldridge Ophthalmology Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Mark G Wood Internal Medicine Onesource Healthcare Group, LLC 406 S W St, Bainbridge, GA 39819-3918
Charlene Rebecca Small Nurse Practitioner Onesource Healthcare Group, LLC 406 S W St, Bainbridge, GA 39819-3918
Linda S Jones Emergency Medicine Southland Consolidated Emergency Services LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256
Claire S Wright Physician Assistant Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Donald R Robinson Obstetrics/gynecology Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Breanna Lynn Darley Nurse Practitioner Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Mark A Gay Emergency Medicine Southland Bainbridge Hospitalist Group LLC 1500 E Shotwell St, Bainbridge, GA 39819-4256
James S Cochran Internal Medicine Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Lisa Wooten Martin Optometry Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Whitney Vance Obstetrics/gynecology Hospital Authority of The City of Bainbridge and Decatur County Georgi 1500 E Shotwell St, Bainbridge, GA 39819-4256
Find all physicians in zip 39819

Competitor

Search similar physicians

City BAINBRIDGE
Zip Code 39819
Specialty EMERGENCY MEDICINE
City + Specialty BAINBRIDGE + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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