ROBERT DANIEL BENNETT (MD) – Family Medicine Physician, NPI 1023456290

ROBERT DANIEL BENNETT (MD) is a healthcare provider. based in Valdosta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 74720 (GA). The NPI Number for ROBERT DANIEL BENNETT (MD) is 1023456290

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DANIEL BENNETT (MD)
NPI
1023456290
Phone
(229) 244-1400
Address
2412 N OAK ST
Enumeration Date
11 June 2013
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
1759682271
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20151229000051
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for ROBERT DANIEL BENNETT (MD)

  • 2412 N OAK ST

    VALDOSTA, GA 316022567

    Phone: (229) 244-1400

    Fax: (229) 244-5512

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($235).

Total Amount

$364

General + Research + Ownership

Payments

33

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151229000051IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,117438$0
36415Insertion of needle into vein for collection of blood sample979376$0
J0897Injection, denosumab, 1 mg96012$0
95004Test for allergy using allergenic extract64711$0
80053Blood test, comprehensive group of blood chemicals644340$0
View full utilization report →

Insurance plans in this area (ZIP 31602)

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Provider's Procedures

ROBERT DANIEL BENNETT (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA85610Blood test, clotting time5628

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032020490View full group profile
NameSpecialtyState
Internal MedicineVA
Orthopedic SurgeryIL
-NC
-TX
Family PracticeOR
Occupational Therapist In Private PracticeNC
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA
Anesthesiology, Pain ManagementIN

Reviews

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Frequently asked questions

What is ROBERT DANIEL BENNETT (MD)'s NPI number?
ROBERT DANIEL BENNETT (MD)'s NPI is 1023456290 — the number used across U.S. healthcare to identify this provider.
Would ROBERT DANIEL BENNETT (MD) appear as active to a payer?
You can treat ROBERT DANIEL BENNETT (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ROBERT DANIEL BENNETT (MD)?
At a glance, ROBERT DANIEL BENNETT (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT DANIEL BENNETT (MD) located near Valdosta?
ROBERT DANIEL BENNETT (MD) currently maps to Valdosta, Georgia in this extract.
Does ROBERT DANIEL BENNETT (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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