BEN HILL FAMILY MEDICINE
NPI 1184492878
Clinic/Center - Primary Care in Fitzgerald, GA

Active since December 13, 2023CLIA 11D2305635 · Waiver
708 S GRANT ST STE 15, FITZGERALD, GA 31750(912) 309-3338 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2024, May 14, 2024, Dec 13, 2023 (3 updates tracked since 2023).

About Ben Hill Family Medicine NPPES

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

BEN HILL FAMILY MEDICINE (NPI 1184492878) is a healthcare organization registered as a primary care in Fitzgerald, Georgia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Beverly Denise Graham, Nurse Practitioner/incorporator, as its authorized official.

NPPES Registry Identity

NPI1184492878
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBEN HILL FAMILY MEDICINE
Location Address708 S GRANT ST STE 15Fitzgerald, GA 31750-5707
Mailing AddressPo Box 280Fitzgerald, GA 31750-0280 · (912) 253-6163
Organization SubpartNo
Authorized OfficialBeverly Denise GrahamNurse Practitioner/incorporator · (912) 253-6163
Enumeration DateDecember 13, 2023
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1184492878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
708 S GRANT ST STE 15, Fitzgerald, GA 31750

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2305635

Ben Hill Family Medicine · Fitzgerald, GA
Active · expires Jun 3, 2028
CLIA Number11D2305635
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorBeverly Grahm
Laboratory Phone(912) 309-3338
Laboratory LocationBen Hill Family Medicine708 South Grant Street, Suite 15, Fitzgerald, GA 31750
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
708 S GRANT ST STE 15
FITZGERALD, GA 31750

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 Ben Hill Family Medicine's NPI number?

The NPI number for Ben Hill Family Medicine is 1184492878. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Ben Hill Family Medicine located?

Ben Hill Family Medicine is located at 708 S Grant St Ste 15, Fitzgerald, GA 31750. The listed phone number is (912) 309-3338.

What is Ben Hill Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ben Hill Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2305635) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ben Hill Family Medicine accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ben Hill Family Medicine 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 Ben Hill Family Medicine was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.