JOHN BENNETT (M.D.) – Internal Medicine Physician, NPI 1043240047

JOHN BENNETT (M.D.) is a healthcare provider. based in Cumming, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 053838 (GA). The NPI Number for JOHN BENNETT (M.D.) is 1043240047

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BENNETT (M.D.)
NPI
1043240047
Phone
(770) 475-2377
Address
950 Sanders Road
Enumeration Date
4 July 2006
Last Update Date
1 February 2018

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
9127541035
Graduation Year
2001 (25 years ago)
PAC ID
7012984784
Group Practice PAC ID
1254628092
Professional Enrollment ID
I20220225001006
Address ID
GA313295244SP1451XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for JOHN BENNETT (M.D.)

  • 950 Sanders Road

    Cumming, GA 300415960

    Phone: (770) 475-2377

    Fax: (770) 442-0193

    Type: Location

  • 459 HWY 119 S

    SPRINGFIELD, GA 313293021

    Phone: (912) 754-0182

    Fax: (912) 754-1250

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-03-22 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-22

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: 2022-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040913000715IInternal MedicineGATBD
I20220225001006IInternal MedicineSCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30041)

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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: 1254628092View full group profile
NameSpecialtyState
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What NPI should I save for JOHN BENNETT (M.D.)?
Save NPI 1043240047 if you need a stable reference for JOHN BENNETT (M.D.).
Is JOHN BENNETT (M.D.) active in the national directory?
JOHN BENNETT (M.D.)'s public NPI profile is in an active state.
Can you summarize JOHN BENNETT (M.D.)'s specialty in plain language?
Clinically, the directory lists JOHN BENNETT (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN BENNETT (M.D.)'s primary listing?
We display Cumming, Georgia because that is what the record indicates for JOHN BENNETT (M.D.).
How can I contact JOHN BENNETT (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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