DR. WILLIAM JOHN BENEDICT JR. (NPI# 1285778613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285778613 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOHN BENEDICT JR. |
| Credential | M.D. |
| Practice Address |
61 Whitcher St Ne Suite 3110 Kennestone Physician's Center Marietta GA 30060-1176 |
| Mailing Address |
61 Whitcher St Ne Suite 3110 Marietta GA 30060-1176 |
| Practice Telephone | 7704222326 |
| Mailing Telephone | 7704222326 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 59122 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821653346 | William Howard Benedict | Pharmacist | 827 Oak Park Blvd, Pismo Beach, CA 93449-3290 | 2019-05-09 |
| 1063598548 | William L Benedict | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6505 | 2006-10-27 |
| 1902845076 | William W Benedict | Internal Medicine | 226 S Woods Mill Rd, Suite 56w, Chesterfield, MO 63017-3662 | 2006-06-05 |
| Street Address |
61 WHITCHER ST NE SUITE 3110 KENNESTONE PHYSICIAN'S CENTER |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014568 | Richard W Cohen | Orthopaedic Surgery | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2005-09-21 |
| 1376050955 | Gina M Soto | Nurse Practitioner | 61 Whitcher St Ne, Marietta, GA 30060-1176 | 2018-01-04 |
| 1477062594 | Anna Swanson Bouchard | Nurse Practitioner | 61 Whitcher St Ne, Marietta, GA 30060-1176 | 2017-09-20 |
| 1396281200 | Trevor J Wallace | Physician Assistant | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2017-01-17 |
| 1720537327 | Taylor Dellinger | Nurse Practitioner | 61 Whitcher St Ne, Suite 3110, Marietta, GA 30060-1176 | 2016-09-25 |
| 1164871117 | Georgiana Massad | Physician Assistant | 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 | 2016-06-10 |
| 1134593809 | Sarah Applegarth | Physician Assistant | 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 | 2015-11-18 |
| 1336543529 | Wellstar Medical Group, LLC | Internal Medicine | 61 Whitcher St Ne, Suite 4100b, Marietta, GA 30060-1181 | 2014-10-16 |
| 1346660198 | Catherine Chmiel | Nurse Practitioner | 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 | 2014-04-20 |
| 1467885863 | Wellstar Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 | 2013-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1770715559 | Phillip V Parry Sr. | Neurological Surgery | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 | 2009-08-13 |
| 1356570287 | Michail Vasilakis | Neurological Surgery | 400 Matthew St Ste 101, Marietta, OH 45750-1656 | 2009-07-13 |
| 1467477463 | Said Elshihabi | Neurological Surgery | 718 Cherokee St Ne, Marietta, GA 30060-7253 | 2006-07-12 |
| 1871579235 | Tariq Javed | Neurological Surgery | 631 Campbell Hill St Nw, 100, Marietta, GA 30060 | 2005-12-19 |
| 1497274930 | Deven Reddy | Neurological Surgery | 400 Matthew St Ste 101, Marietta, OH 45750-1656 | 2017-09-15 |
| 1033632419 | Legacy Brain & Spine LLC | Neurological Surgery | 718 Cherokee St Ne, Marietta, GA 30060-7253 | 2017-07-18 |
| 1487064341 | Li Liu | Neurological Surgery | 780 Canton Rd Ne Ste 400, Marietta, GA 30060-7298 | 2014-04-30 |
| 1760775738 | Wellstar Medical Group, LLC | Neurological Surgery | 61 Whitcher St Ne, Suite 3110, Marietta, GA 30060-1176 | 2011-05-24 |
| 1760798458 | Wellstar Neurosurgery Services, LLC Dba Wellstar Neurosurgery | Neurological Surgery | 61 Whitcher Street, Suite 3110, Marietta, GA 30060 | 2010-08-19 |
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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.