MRS. SALLY D BENNETT APRN BC FNP
NPI 1336181536
Nurse Practitioner - Family in Kingsland, GA
About Mrs. Sally D Bennett Aprn Bc Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SALLY D BENNETT APRN BC FNP (NPI 1336181536) is an individual family provider in Kingsland, Georgia, licensed in Georgia (RN094886) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Sally D Bennett Aprn Bc Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sally Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsland, GA 31548
- Reassigned Medicare billing, Georgia enrollment
- 13 clinicians in this Medicare group
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 31548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSLAND, GA 31548
KINGSLAND, GA 31548
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 Sally Bennett's NPI number?
The NPI number for Sally Bennett is 1336181536. It was assigned to this individual provider in the NPPES registry on June 12, 2006.
Where is Sally Bennett located?
Sally Bennett practices at 130 N Gross Rd Ste 201, Kingsland, GA 31548. The listed phone number is (912) 729-2795.
What is Sally Bennett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sally Bennett enrolled in Medicare?
Yes. Sally Bennett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sally Bennett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Bennett reassigns Medicare benefits to Camden Healthcare Associates, Inc. (Kingsland, 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 Sally Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sally Bennett accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sally Bennett 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 Sally Bennett was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Sally D Bennett, APRN BC FNP · NPI 1336181536
Family physician in Kingsland, Georgia. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1336181536 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN094886 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 130 N GROSS RD, STE 201, Kingsland, GA 31548
- **Phone:** (912) 729-2795 · **Fax:** (912) 729-4117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Camden Healthcare Associates, Inc. (NPI 1710927405, Kingsland, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2022
- **Other identifiers:** Other 5000021728 (GA); Medicaid 00830244C (GA); Medicaid 00830244D (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336181536) · Data from the CMS NPPES public registry.