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MR. BENTON STOUTAMIRE CNIM
NPI 1023566007
Specialist/Technologist, Other - Electroneurodiagnostic in Macon, GA

Active since September 19, 2016
420 CHARTER BLVD STE 402A, MACON, GA 31210(478) 273-3831(303) 922-4640 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Benton Stoutamire Cnim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENTON STOUTAMIRE CNIM (NPI 1023566007) is an individual electroneurodiagnostic provider in Macon, Georgia and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1023566007
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameMR. BENTON STOUTAMIRECredential: CNIM
Location Address420 CHARTER BLVD STE 402AMacon, GA 31210-4854
Mailing Address420 Charter Blvd Ste 402aMacon, GA 31210-4854 · (478) 273-3831 · Fax (855) 940-0206
Phone(478) 273-3831
Fax(303) 922-4640
Sole ProprietorYes
Enumeration DateSeptember 19, 2016
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1023566007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
420 CHARTER BLVD STE 402A, Macon, GA 31210
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL LEE WILLETT CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
420 CHARTER BLVD STE 402A
MACON, GA 31210
Bibb County (404) 617-7143
HOLLY LEIGH BLANFORD CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
420 CHARTER BLVD STE 402A
MACON, GA 31210
Bibb County (478) 273-3831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benton Stoutamire's NPI number?

The NPI number for Benton Stoutamire is 1023566007. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Benton Stoutamire located?

Benton Stoutamire practices at 420 Charter Blvd Ste 402A, Macon, GA 31210. The listed phone number is (478) 273-3831.

What is Benton Stoutamire's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Benton Stoutamire was last updated on October 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.