DR. ADRIAN POOLE BENNETT M.D.
NPI 1023074374
Specialist in Atlanta, GA

NPI Status: Active since April 25, 2006

Contact Information

275 COLLIER RD NW
100-A
ATLANTA, GA
ZIP 30309
Phone: (404) 352-1235
Fax: (404) 605-8805

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  • Individual
  • Female
  • Years of Experience 24
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About ADRIAN BENNETT

This page provides the complete NPI Profile along with additional information for Adrian Bennett, a provider established in Atlanta, Georgia with a medical specialization in Specialist and more than 24 years of experience. She graduated from Vanderbilt University School Of Medicine in 2002. The healthcare provider is registered in the NPI registry with number 1023074374 assigned on April 2006. The practitioner's primary taxonomy code is 174400000X with license number 054633 (GA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1023074374
Provider Name
DR. ADRIAN POOLE BENNETT M.D.
Other Name
ADRIAN POOLE
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
275 COLLIER RD NW 100-A ATLANTA, GA 30309
Location Phone
(404) 352-1235
Location Fax
(404) 605-8805
Mailing Address
275 COLLIER RD NW 100-A ATLANTA, GA 30309
Mailing Phone
(404) 352-1235
Mailing Fax
(404) 605-8805
Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
04-25-2006
Last Update Date
09-19-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
054633
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I52748MEDICARE UPIN (02)GA 

Medicare Participation & PECOS Enrollment Status

Adrian Bennett is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Adrian Bennett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981616919

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060612000230

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 96% 26
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Reviews for DR. ADRIAN POOLE BENNETT M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023074374, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 0 + 7 + 8 + 3 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1023074374.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Interventional Cardiology)
275 COLLIER RD NW, SUITE 300
ATLANTA, GA 30309
Internal Medicine (Cardiovascular Disease)
275 COLLIER RD NW, STE 300
ATLANTA, GA 30309
Internal Medicine (Cardiovascular Disease)
275 COLLIER RD NW, STE 500
ATLANTA, GA 30309
Internal Medicine (Clinical Cardiac Electrophysiology)
275 COLLIER RD NW, STE 500
ATLANTA, GA 30309
Physician Assistant (Medical)
275 COLLIER RD NW, SUITE 300
ATLANTA, GA 30309
Nurse Practitioner (Family)
275 COLLIER RD NW, STE 500
ATLANTA, GA 30309
Nurse Practitioner (Adult Health)
275 COLLIER RD NW, SUITE 300
ATLANTA, GA 30309
Internal Medicine (Cardiovascular Disease)
275 COLLIER RD NW, STE 300
ATLANTA, GA 30309
Obstetrics & Gynecology
275 COLLIER RD NW, SUITE 100-B
ATLANTA, GA 30309
Internal Medicine (Clinical Cardiac Electrophysiology)
275 COLLIER RD NW, SUITE 500
ATLANTA, GA 30309
Internal Medicine (Interventional Cardiology)
275 COLLIER RD NW, SUITE 300
ATLANTA, GA 30309
Obstetrics & Gynecology
275 COLLIER RD NW, SUITE 230
ATLANTA, GA 30309
Obstetrics & Gynecology
275 COLLIER RD NW, SUITE 230
ATLANTA, GA 30309
Obstetrics & Gynecology
275 COLLIER RD NW, SUITE 230
ATLANTA, GA 30309
Obstetrics & Gynecology
275 COLLIER RD NW, SUITE 230
ATLANTA, GA 30309
Obstetrics & Gynecology
275 COLLIER RD NW, SUITE 230
ATLANTA, GA 30309
Obstetrics & Gynecology
275 COLLIER RD NW, SUITE 230
ATLANTA, GA 30309
Nurse Practitioner
275 COLLIER RD NW, STE 300
ATLANTA, GA 30309
Internal Medicine (Cardiovascular Disease)
275 COLLIER RD NW, SUITE 500
ATLANTA, GA 30309
Internal Medicine (Clinical Cardiac Electrophysiology)
275 COLLIER RD NW, SUITE 500
ATLANTA, GA 30309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023074374, enumerated as an "individual" on April 25, 2006.

The provider is located at 275 COLLIER RD NW 100-A ATLANTA, GA 30309 and the phone number is (404) 352-1235.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.