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KAYSI BENEFIELD DO
NPI 1104113919
Obstetrics & Gynecology - Obstetrics in Villa Rica, GA

Active since June 30, 2011PECOS Enrolled
690 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180(770) 812-3850(770) 456-3826 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kaysi Benefield Do NPPES

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

KAYSI BENEFIELD DO (NPI 1104113919) is an individual obstetrics provider in Villa Rica, Georgia, licensed in Georgia (077352) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104113919
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameKAYSI BENEFIELDCredential: DO
Location Address690 DALLAS HWY, SUITE 301Villa Rica, GA 30180-1264
Mailing Address119 Ambulance Dr, Suite 202Carrollton, GA 30117-3857 · (770) 838-8710 · Fax (770) 838-8563
Phone(770) 812-3850
Fax(770) 456-3826
Sole ProprietorNo
Enumeration DateJune 30, 2011
Last NPPES UpdateJanuary 27, 2017
✔ NPI 1104113919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in GA · 077352
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
690 DALLAS HWY, Villa Rica, GA 30180
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaysi Benefield Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kaysi Benefield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
11 mi
Surgery
4904 TIMBER RIDGE DR, SUITE 104
Douglasville, GA 30135
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1164715132 (770) 942-4822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
100%34 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

MARTHA HAACK
Internal Medicine (Cardiovascular Disease)
690 DALLAS HWY, SUITE 104
VILLA RICA, GA 30180
Carroll County (404) 778-8440
DR. AMANDA KAUFFMANN NGUYEN M.D.
Pediatrics
690 DALLAS HWY, SUITE 206
VILLA RICA, GA 30180
Carroll County (770) 456-3265
SHERI CAMPBELL MD
Obstetrics & Gynecology (Gynecology)
690 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 456-3850
TMC INTERNAL MEDICINE OF VILLA RICA, INC.
Internal Medicine
690 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 456-3839
MR. CARLOS JULIO MORENO
Physician Assistant
690 DALLAS HWY, SUITE 101
VILLA RICA, GA 30180
Carroll County (770) 459-0620
MRS. LINDA R MCDANIEL CNM
Advanced Practice Midwife
690 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 456-3850
BONNIE KRISTINE BOLES M.D.
Internal Medicine (Pulmonary Disease)
690 DALLAS HWY, SUITE 207-A
VILLA RICA, GA 30180
Carroll County (770) 456-3380
DR. WILLIAM TODD BOLEMAN MD
Allergy & Immunology
690 DALLAS HWY, SUITE 101
VILLA RICA, GA 30180
Carroll County (770) 459-0620

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 Kaysi Benefield's NPI number?

The NPI number for Kaysi Benefield is 1104113919. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Kaysi Benefield located?

Kaysi Benefield practices at 690 Dallas Hwy Suite 301, Villa Rica, GA 30180. The listed phone number is (770) 812-3850.

What is Kaysi Benefield's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Kaysi Benefield enrolled in Medicare?

Yes. Kaysi Benefield is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaysi Benefield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaysi Benefield reassigns Medicare benefits to Wellstar Medical Group, LLC (Douglasville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaysi Benefield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaysi Benefield accept?

Health plans from Ambetter Health list Kaysi Benefield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaysi Benefield was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.