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BENNIE CLEAVELAND EVANS DDS
NPI 1730568296
Dentist - General Practice in Griffin, GA

Active since May 29, 2015PECOS Enrolled
210 ADDAVALE ST, GRIFFIN, GA 30224(770) 229-1490(770) 229-4929 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bennie Cleaveland Evans Dds NPPES

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

BENNIE CLEAVELAND EVANS DDS (NPI 1730568296) is an individual general practice provider in Griffin, Georgia, licensed in Georgia (8495) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730568296
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBENNIE CLEAVELAND EVANSCredential: DDS
Location Address210 ADDAVALE STGriffin, GA 30224-4217
Mailing Address210 Addavale StGriffin, GA 30224-4217 · (770) 229-1490 · Fax (770) 229-4929
Phone(770) 229-1490
Fax(770) 229-4929
Sole ProprietorYes
Enumeration DateMay 29, 2015
✔ NPI 1730568296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 8495
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
210 ADDAVALE ST, Griffin, GA 30224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bennie Cleaveland Evans Dds 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 30224 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 3

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

ADDEVALE FAMILY DENTISTRY, P.C.
Dentist (General Practice)
210 ADDAVALE ST
GRIFFIN, GA 30224
Spalding County (770) 229-1490
BENNIE C. EVANS,D.D.S.,P.C.
Dentist (General Practice)
210 ADDAVALE ST
GRIFFIN, GA 30224
Spalding County (770) 229-1490
DR. STUART EMORY SCHROETER D.M.D.
Dentist (General Practice)
210 ADDAVALE ST
GRIFFIN, GA 30224
Spalding County (770) 229-1490

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 Bennie Evans's NPI number?

The NPI number for Bennie Evans is 1730568296. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Bennie Evans located?

Bennie Evans practices at 210 Addavale St, Griffin, GA 30224. The listed phone number is (770) 229-1490.

What is Bennie Evans's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bennie Evans enrolled in Medicare?

Yes. Bennie Evans is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bennie Evans was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.