KAYSI BENEFIELD (NPI# 1104113919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104113919 |
Entity Type | Individual |
Full Name | KAYSI BENEFIELD |
Credential | DO |
Practice Address |
690 Dallas Hwy Suite 301 Villa Rica GA 30180-1264 |
Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
Practice Telephone | 7708123850 |
Practice Fax Number | 7704563826 |
Mailing Telephone | 7708388710 |
Mailing Fax Number | 7708388563 |
Enumeration Date | 2011-06-30 |
Last Update Date | 2017-01-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
077352 | GA | Allopathic & Osteopathic Physicians |
Street Address |
690 DALLAS HWY SUITE 301 |
City | VILLA RICA |
State | GA |
Zip Code | 30180-1264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538161492 | Bonnie Kristine Boles | Internal Medicine | 690 Dallas Hwy, Suite 207-a, Villa Rica, GA 30180-1264 | 2005-08-11 |
1366797391 | Julie Inez Burke | Clinical Nurse Specialist | 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 | 2012-07-16 |
1972824712 | Tiffany L Stanfill | Obstetrics & Gynecology | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1264 | 2010-06-16 |
1497982656 | Linda R Mcdaniel | Advanced Practice Midwife | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1264 | 2009-06-16 |
1346406071 | Tmc Internal Medicine of Villa Rica, Inc. | Internal Medicine | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1264 | 2008-08-01 |
1073710646 | Amanda Kauffmann Nguyen | Pediatrics | 690 Dallas Hwy, Suite 206, Villa Rica, GA 30180-1264 | 2007-06-28 |
1669677498 | Robin Renee Childress-rodriguez | Nurse Practitioner | 690 Dallas Hwy, Ste 101, Villa Rica, GA 30180-1264 | 2007-06-20 |
1982724811 | Virginia Singer | Nurse Practitioner | 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 | 2007-04-02 |
1477615862 | Carlos Julio Moreno | Physician Assistant | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1264 | 2006-12-14 |
1568563914 | Eugene Stanley Hurwitz | Allergy & Immunology | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1209 | 2006-09-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
Find all providers in zip 30180 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437340270 | Hector Alejandro Caceres Serrano | Obstetrics & Gynecology | 690 Dallas Hwy Ste 301, Villa Rica, GA 30180-1262 | 2007-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757907 | Atlanta Midtown Gynecology 2 LLC | Obstetrics & Gynecology | 842 N Highland Ave Ne Ste 250, Atlanta, GA 30306-4514 | 2018-07-19 |
1922481522 | Anna Carter | Obstetrics & Gynecology | 1700 Tree Ln Ste 290, Snellville, GA 30078-6748 | 2015-07-01 |
1164832101 | Desiree Ogbedei Ashong Simon | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2014-04-29 |
1427303411 | Cynthia C Mercer Md PC | Obstetrics & Gynecology | 77 Weaver Rd Ste A, Blairsville, GA 30512-3136 | 2012-07-17 |
1972892388 | John Yongseung Lee | Obstetrics & Gynecology | 1325 Satellite Blvd Nw Bldg 700, Suwanee, GA 30024-4651 | 2011-04-06 |
1427235597 | Khadeja Haye | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr, Atlanta, GA 30303 | 2008-01-30 |
1215111992 | Milledgeville Family Practice Center P.C. | Obstetrics & Gynecology | 540 W Thomas St Ste B, Milledgeville, GA 31061-2745 | 2007-12-18 |
1992984686 | Michael E Lynch Sr Md PC | Obstetrics & Gynecology | 230 W College St Ste A, Griffin, GA 30224-4249 | 2007-10-30 |
1770644650 | Robert H Weinfeld | Obstetrics & Gynecology | Dwight D. Eisenhower Army Medical Center, Bldg 300 Hospital Way, Ft. Gordon, GA 30905 | 2006-12-13 |
1073698197 | James D Woods | Obstetrics & Gynecology | 401 S Madison St, Albany, GA 31701-3111 | 2006-10-26 |
Find all providers with the same taxonomy |
City | VILLA RICA |
Zip Code | 30180 |
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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.