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BENAISSA KADDOUR DJEBBAR
NPI 1114200029
Nurse Practitioner - Family in Augusta, GA

Active since September 27, 2011
3405 MIKE PADGETT HWY, EAST CENTRAL REGIONAL HOSPITAL -FORENSIC UNIT, AUGUSTA, GA 30906(706) 792-7073 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benaissa Kaddour Djebbar NPPES

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

BENAISSA KADDOUR DJEBBAR (NPI 1114200029) is an individual family provider in Augusta, Georgia, licensed in Georgia (APRN 204732) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1114200029
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBENAISSA KADDOUR DJEBBAR
Location Address3405 MIKE PADGETT HWY, EAST CENTRAL REGIONAL HOSPITAL -FORENSIC UNITAugusta, GA 30906-3815
Mailing Address2060 Dundee WayGrovetown, GA 30813-8124 · (706) 627-3762
Phone(706) 792-7073
Sole ProprietorNo
Enumeration DateSeptember 27, 2011
✔ NPI 1114200029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN 204732
3405 MIKE PADGETT HWY, Augusta, GA 30906
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Other Providers at the Same Location NPPES 20

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

TAMARA AUGUSTIN NOEL LCSW
Social Worker (Clinical)
3405 MIKE PADGETT HWY, BUILDING 201
AUGUSTA, GA 30906
Richmond County (305) 414-4498
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Psychiatric Hospital
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 792-7026
JOHN LOUIS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 792-7021
DR. HAE K PARK M.D.
Pediatrics
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 792-7021
DR. AJAI KALLA M.D.
Psychiatry & Neurology (Psychiatry)
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 792-2021
MRS. MARIA BRATOEVA
Nurse Practitioner (Family)
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 792-7021
HAMZAH SHROOF DO
Psychiatry & Neurology (Psychiatry)
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 790-2011
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Pharmacy
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 792-7021

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 Benaissa Kaddour Djebbar's NPI number?

The NPI number for Benaissa Kaddour Djebbar is 1114200029. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Benaissa Kaddour Djebbar located?

Benaissa Kaddour Djebbar practices at 3405 Mike Padgett Hwy East Central Regional Hospital -Forensic Unit, Augusta, GA 30906. The listed phone number is (706) 792-7073.

What is Benaissa Kaddour Djebbar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Benaissa Kaddour Djebbar was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.