MRS. SALLY D BENNETT APRN BC FNP
NPI 1336181536
Nurse Practitioner - Family in Kingsland, GA

Active since June 12, 2006PECOS Enrolled
130 N GROSS RD, STE 201, KINGSLAND, GA 31548(912) 729-2795(912) 729-4117 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Jan 15, 2020 (2 updates tracked since 2020).

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

NPI1336181536
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SALLY D BENNETTCredential: APRN BC FNP
Location Address130 N GROSS RD, STE 201Kingsland, GA 31548
Mailing Address130 N Gross Rd Ste 201Kingsland, GA 31548-6277 · (912) 729-2795 · Fax (912) 729-4117
Fax(912) 729-4117
Sole ProprietorYes
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1336181536 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 · RN094886
130 N GROSS RD, Kingsland, GA 31548

Other Identifiers 3

Other5000021728GA · Rr Mc
Medicaid00830244CGA
Medicaid00830244DGA

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 (PECOS)

Mrs. Sally D Bennett Aprn Bc Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$58.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (General Practice)
130 N GROSS RD, STE.122
KINGSLAND, GA 31548
Family Medicine
130 N GROSS RD, SUITE 205
KINGSLAND, GA 31548
Nurse Practitioner (Psychiatric/Mental Health)
130 N GROSS RD
KINGSLAND, GA 31548
Nurse Practitioner (Family)
130 N GROSS RD, STE 201
KINGSLAND, GA 31548
Speech-Language Pathologist
130 N GROSS RD
KINGSLAND, GA 31548
Internal Medicine
130 N GROSS RD, SUITE 202
KINGSLAND, GA 31548
Family Medicine
130 N GROSS RD, SUITE 201
KINGSLAND, GA 31548
Speech-Language Pathologist
130 N GROSS RD
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.

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.