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JACQUELINE BENNETT C.E.O
NPI 1992597496
Technician, Pathology - Medical Laboratory in Fayetteville, GA

Active since May 20, 2025
1139 HWY 54 E LANIER AVE SUITE J, FAYETTEVILLE, GA 30215(470) 302-7769(888) 666-1770 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Bennett C.e.o NPPES

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

JACQUELINE BENNETT C.E.O (NPI 1992597496) is an individual medical laboratory provider in Fayetteville, Georgia, licensed in Georgia (9435480646JB) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1992597496
Entity TypeIndividualFemale
Primary Taxonomy246RM2200X
Provider Legal NameJACQUELINE BENNETTCredential: C.E.O
Location Address1139 HWY 54 E LANIER AVE SUITE JFayetteville, GA 30215
Mailing Address1545 N Expressway Unit 137Griffin, GA 30223-1746 · (404) 934-2936 · Fax (888) 666-1770
Phone(470) 302-7769
Fax(888) 666-1770
Sole ProprietorNo
Enumeration DateMay 20, 2025
NPPES CertifiedMay 11, 2025
✔ NPI 1992597496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RM2200X
License✔ Licensed in GA · 9435480646JB
1139 HWY 54 E LANIER AVE SUITE J, Fayetteville, GA 30215
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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 Jacqueline Bennett's NPI number?

The NPI number for Jacqueline Bennett is 1992597496. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Jacqueline Bennett located?

Jacqueline Bennett practices at 1139 Hwy 54 E Lanier Ave Suite J, Fayetteville, GA 30215. The listed phone number is (470) 302-7769.

What is Jacqueline Bennett's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Medical Laboratory, with taxonomy code 246RM2200X.

When was this NPI record last updated?

The NPPES record for Jacqueline Bennett was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.