STACI THOMAS BENNETT (FNP-C) – Registered Nurse, NPI 1083234322

STACI THOMAS BENNETT (FNP-C) is a healthcare provider. based in Byron, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN-NP193050 (GA). The NPI Number for STACI THOMAS BENNETT (FNP-C) is 1083234322

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
STACI THOMAS BENNETT (FNP-C)
NPI
1083234322
Phone
(478) 320-4644
Address
58 THOMAS DR
Enumeration Date
16 April 2020
Last Update Date
1 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787437068
Graduation Year
2020 (6 years ago)
PAC ID
1759796956
Group Practice PAC ID
0042569758
Professional Enrollment ID
I20210222001450
Address ID
GA312018306MA800XXSTXX302
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for STACI THOMAS BENNETT (FNP-C)

  • 58 THOMAS DR

    BYRON, GA 310088616

    Phone: (478) 320-4644

    Type: Mailing

  • 800 1ST ST STE 410

    MACON, GA 312018306

    Phone: (478) 320-4644

    Type: Mailing

  • 114 Sutherlin Dr Ste C-1

    Warner Robins, GA 310882259

    Phone: (478) 743-7068

    Fax: (478) 741-1354

    Type: Location

  • 5430 BOWMAN RD

    MACON, GA 312108879

    Phone: (478) 743-7068

    Fax: (478) 741-1354

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 248 Open Payments records for all available years, with a total value of $5,434.

Total Amount is formed as General ($5,434) + Research ($0) + Ownership ($0) = $5,434.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($473).

Total Amount

$5,434

General + Research + Ownership

Payments

248

Total payment records

General Amount

$5,434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2021-02-22

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
I20210222001450INurse PractitionerGATBD

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 minutes10077$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3521$0
99215Established patient office or other outpatient visit, 40-54 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 31008)

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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: 0042569758View full group profile
NameSpecialtyState
Nurse PractitionerIN
H E M A T O L O G Y/ O N C O L O G YDE
Nurse PractitionerNC
Nurse PractitionerFL
P A T H O L O G YFL
Nurse PractitionerKS
-MO
Nurse PractitionerMD
-GA
-FL

Reviews

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Frequently asked questions

Is STACI THOMAS BENNETT (FNP-C) listed with a National Provider Identifier?
Yes — STACI THOMAS BENNETT (FNP-C) has NPI 1083234322 on file in the registry.
Is STACI THOMAS BENNETT (FNP-C) shown as active in public data?
Registry records indicate STACI THOMAS BENNETT (FNP-C) maintains an active NPI.
What expertise is attributed to STACI THOMAS BENNETT (FNP-C)?
STACI THOMAS BENNETT (FNP-C)'s specialty line reads Registered Nurse. Clinical services aligned with this taxonomy classification.
Is STACI THOMAS BENNETT (FNP-C) located near Byron?
STACI THOMAS BENNETT (FNP-C) currently maps to Byron, Georgia in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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