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VICTORIA MODUPE BENARD NURSE PRACTITIONER
NPI 1306200852
Nurse Practitioner in Decatur, GA

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
445 WINN WAY, DECATUR, GA 30030(404) 294-3745 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About Victoria Modupe Benard Nurse Practitioner NPPES

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

VICTORIA MODUPE BENARD NURSE PRACTITIONER (NPI 1306200852) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (RN121933) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306200852
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVICTORIA MODUPE BENARDCredential: NURSE PRACTITIONER
Location Address445 WINN WAYDecatur, GA 30030-1707
Mailing Address445 Winn WayDecatur, GA 30030-1707 · (404) 294-3745
Phone(404) 294-3745
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 11, 2016
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1306200852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN121933
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
445 WINN WAY, Decatur, GA 30030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Modupe Benard Nurse Practitioner 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 ID6608115605
PECOS Enrollment IDI20190311000435
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 Victoria Benard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grady Memorial Hospital Corporation
6.4 mi
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
NPI 1114243813 (404) 616-8880

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 30030 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

MR. CLIFTON HATCHERSON JR. LCSW
Social Worker (Clinical)
445 WINN WAY, 5247 RUNNING DOE DRIVE
DECATUR, GA 30030
Dekalb County (404) 289-8445
SARAH DAVISON LPC
Counselor (Professional)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3836
DR. BRIAN M PALMER I DO
Preventive Medicine (Public Health & General Preventive Medicine)
445 WINN WAY, ROOM # 124
DECATUR, GA 30030
Dekalb County (404) 508-7881
ABDUL NIAZI NP
Nurse Practitioner
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3745
DR. CHIKKANAYAK B LOKESH M.D.
Psychiatry & Neurology (Psychiatry)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3836
MRS. CAROL BERMAN HARPER LCSW
Social Worker (Clinical)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-6430
DR. CARMEN SOFIA MARTINEZ M.D.
Psychiatry & Neurology (Addiction Psychiatry)
445 WINN WAY, DEKALB COMMUNITY SERVICE BOARD
DECATUR, GA 30030
Dekalb County (404) 508-7700
MATTHEW RASKIND LCSW
Psychologist (Clinical)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3834

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 Victoria Benard's NPI number?

The NPI number for Victoria Benard is 1306200852. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Victoria Benard located?

Victoria Benard practices at 445 Winn Way, Decatur, GA 30030. The listed phone number is (404) 294-3745.

What is Victoria Benard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Victoria Benard enrolled in Medicare?

Yes. Victoria Benard 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.

Which organization bills Medicare for Victoria Benard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Benard reassigns Medicare benefits to Grady Memorial Hospital Corporation (Atlanta, 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 Victoria Benard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Benard was last updated on August 23, 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.