SHAUGHN C BENNETT DO PA
NPI 1639342645
Family Medicine in South Miami, FL
About Shaughn C Bennett Do Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUGHN C BENNETT DO PA (NPI 1639342645) is a healthcare organization registered as a family medicine in South Miami, Florida and active in the NPI registry since April 2008. The organization lists Shaughn C Bennett, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shaughn C Bennett Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shaughn C Bennett Do PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shaughn C Bennett Do PA's NPI number?
The NPI number for Shaughn C Bennett Do PA is 1639342645. It was assigned to this organization in the NPPES registry on April 10, 2008.
Where is Shaughn C Bennett Do PA located?
Shaughn C Bennett Do PA is located at 7575 SW 62nd Ave Suite B, South Miami, FL 33143. The listed phone number is (305) 661-0181.
What is Shaughn C Bennett Do PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shaughn C Bennett Do PA enrolled in Medicare?
Yes. Shaughn C Bennett Do PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shaughn C Bennett Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shaughn C Bennett Do PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shaughn C Bennett Do PA was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Shaughn C Bennett Do Pa · NPI 1639342645
Family Medicine organization in South Miami, Florida. Organization record, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1639342645 (Entity type: Organization)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shaughn Bennett, OWNER/PHYSICIAN
## Practice location
- **Address:** 7575 SW 62ND AVE, SUITE B, South Miami, FL 33143-4955
- **Phone:** (305) 661-0181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2008
- **Other identifiers:** Medicare UPIN D70558 (FL); Medicare PIN 80019 (FL); Other 1891758132 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1639342645) · Data from the CMS NPPES public registry.