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BENJAMIN ROBERT HERRON CSFA
NPI 1720522600
Physician Assistant - Surgical in Marietta, GA

Active since December 12, 2016
800 KENNESAW AVE NW STE 120, MARIETTA, GA 30060(470) 336-8190(770) 336-6620 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2017, Dec 29, 2016, Dec 12, 2016 (3 updates tracked since 2016).

About Benjamin Robert Herron Csfa NPPES

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

BENJAMIN ROBERT HERRON CSFA (NPI 1720522600) is an individual surgical provider in Marietta, Georgia and active in the NPI registry since December 2016. He maintains a secondary practice location in Acworth.

NPPES Registry Identity

NPI1720522600
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBENJAMIN ROBERT HERRONCredential: CSFA
Location Address800 KENNESAW AVE NW STE 120Marietta, GA 30060
Mailing Address800 Kennesaw Ave Nw Ste 120Marietta, GA 30060-1052 · (470) 336-8190 · Fax (770) 336-6620
Phone(470) 336-8190
Fax(770) 336-6620
Sole ProprietorYes
Enumeration DateDecember 12, 2016
Last NPPES UpdateMay 31, 20183 updates tracked since enumeration
✔ NPI 1720522600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
800 KENNESAW AVE NW STE 120, Marietta, GA 30060
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Secondary Practice Location 1

Location 11720 Mars Hill Rd NW Ste 8-175Acworth, GA 30101-7127 · Phone (470) 336-8190 · Fax (770) 336-6620

Other Providers at the Same Location NPPES

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

JAIME LYNN BUCKELEW CSFA
Specialist/Technologist, Other (Surgical Assistant)
800 KENNESAW AVE NW STE 120
MARIETTA, GA 30060
Cobb County (678) 556-5138

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 Benjamin Herron's NPI number?

The NPI number for Benjamin Herron is 1720522600. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Benjamin Herron located?

Benjamin Herron practices at 800 Kennesaw Ave NW Ste 120, Marietta, GA 30060. The listed phone number is (470) 336-8190.

What is Benjamin Herron's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Benjamin Herron was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.