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SAMUEL BENNETT CNP
NPI 1255192944
Nurse Practitioner - Family in Watkinsville, GA

Active since January 19, 2024PECOS EnrolledAccepts Medicare Assignment
1305 JENNINGS MILL RD STE 260, WATKINSVILLE, GA 30677(706) 548-0008(706) 369-9673 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Sep 10, 2025 (2 updates tracked since 2025).

About Samuel Bennett Cnp NPPES

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

SAMUEL BENNETT CNP (NPI 1255192944) is an individual family provider in Watkinsville, Georgia, licensed in Georgia (APRN-NP296584) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1255192944
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL BENNETTCredential: CNP
Location Address1305 JENNINGS MILL RD STE 260Watkinsville, GA 30677-7307
Mailing Address340 N Milledge Ave Ste BAthens, GA 30601-3806 · (706) 548-0008 · Fax (706) 369-9673
Phone(706) 548-0008
Fax(706) 369-9673
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 19, 2024
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1255192944 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-NP296584
1305 JENNINGS MILL RD STE 260, Watkinsville, GA 30677
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Secondary Practice Location 1

Location 1340 N Milledge Ave Ste BAthens, GA 30601-3806 · Phone (706) 548-0008 · Fax (706) 369-9673

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Bennett Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062859598
PECOS Enrollment IDI20240320001545
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
123 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services90 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samuel Bennett's NPI number?

The NPI number for Samuel Bennett is 1255192944. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Samuel Bennett located?

Samuel Bennett practices at 1305 Jennings Mill Rd Ste 260, Watkinsville, GA 30677. The listed phone number is (706) 548-0008.

What is Samuel Bennett's specialty?

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

Is Samuel Bennett enrolled in Medicare?

Yes. Samuel Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Bennett affiliated with any hospitals?

According to CMS data, Samuel Bennett is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Bennett was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.