KEELIA ELISE BENNER PA
NPI 1295317766
Physician Assistant in Douglasville, GA

Active since April 24, 2021PECOS EnrolledAccepts Medicare Assignment
6002 PROFESSIONAL PKWY STE 140, DOUGLASVILLE, GA 30134(678) 715-9690 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2026, Oct 19, 2021, Apr 24, 2021 (3 updates tracked since 2021).

About Keelia Elise Benner Pa NPPES

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

KEELIA ELISE BENNER PA (NPI 1295317766) is an individual physician assistant in Douglasville, Georgia, licensed in Georgia (10675) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Philadelphia College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1295317766
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEELIA ELISE BENNERCredential: PA
Location Address6002 PROFESSIONAL PKWY STE 140Douglasville, GA 30134-5603
Mailing Address625 Old Peachtree Rd NwSuwanee, GA 30024-2937
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 24, 2021
Last NPPES UpdateFebruary 7, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
NPI 1295317766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 10675
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6002 PROFESSIONAL PKWY STE 140, Douglasville, GA 30134

Secondary Practice Locations 2

Location 18954 Hospital DrDouglasville, GA 30134-2272 · Phone (770) 874-5400
Location 2625 Old Peachtree Rd NWSuwanee, GA 30024-2937 · Phone (678) 225-7500

Accepted Insurance

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

Keelia Elise Benner Pa 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 ID9931597895
PECOS Enrollment IDI20211026000860
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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
6002 PROFESSIONAL PKWY STE 140
DOUGLASVILLE, GA 30134
Nurse Practitioner (Family)
6002 PROFESSIONAL PKWY STE 140
DOUGLASVILLE, GA 30134
Physician Assistant
6002 PROFESSIONAL PKWY STE 140
DOUGLASVILLE, GA 30134
Physical Medicine & Rehabilitation (Pain Medicine)
6002 PROFESSIONAL PKWY STE 140
DOUGLASVILLE, GA 30134
Internal Medicine (Hematology & Oncology)
6002 PROFESSIONAL PKWY STE 140
DOUGLASVILLE, GA 30134
Physician Assistant
6002 PROFESSIONAL PKWY STE 140
DOUGLASVILLE, GA 30134

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 Keelia Benner's NPI number?

The NPI number for Keelia Benner is 1295317766. It was assigned to this individual provider in the NPPES registry on April 24, 2021.

Where is Keelia Benner located?

Keelia Benner practices at 6002 Professional Pkwy Ste 140, Douglasville, GA 30134. The listed phone number is (678) 715-9690.

What is Keelia Benner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keelia Benner enrolled in Medicare?

Yes. Keelia Benner 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.

What insurance does Keelia Benner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Keelia Benner 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 Keelia Benner was last updated on February 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.