MRS. SARA RUTH BENNETT (FNP-BC) – Family Nurse Practitioner, NPI 1104364173
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. SARA RUTH BENNETT (FNP-BC)
180 WALNUT LANE
WILLIAMSON, GA 30292
Phone: (912) 704-0820
Type: Mailing
865 N HIGHLAND AVE NE
ATLANTA, GA 303064565
Phone: (404) 733-6089
Type: Location
421, Keiffer Drive, Rincon, Effingham County, Georgia, 31326, United States
RINCON, GA 31326
Phone: (912) 704-0820
Type: Mailing
1975 HIGHWAY 54 W STE 255
PEACHTREE CITY, GA 302694794
Phone: (770) 487-2218
Fax: (678) 788-6909
Type: Mailing
4700 Waters Ave
Savannah, GA 314046220
Phone: (912) 350-6600
Fax: (912) 350-8427
Type: Location
Medical Center Pharmacy, 4700, Waters Avenue, Fairfield, Savannah, Chatham County, Georgia, 31404, United States
SAVANNAH, GA 314046220
Phone: (912) 350-6600
Fax: (912) 350-8427
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $1,428.
Total Amount is formed as General ($1,428) + Research ($0) + Ownership ($0) = $1,428.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($600).
Total Amount
$1,428
General + Research + Ownership
Payments
57
Total payment records
General Amount
$1,428
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-09-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170905003495 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95117 | Professional service for multiple injections of allergen | 741 | 109 | $0 |
| 95004 | Test for allergy using allergenic extract | 492 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 50 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 39 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 23 | $0 |
Insurance plans in this area (ZIP 30292)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Allergy/Immunology | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Allergy/Immunology, Internal Medicine | FL | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Allergy/Immunology, Pediatric Medicine | GA | |
| - | GA |
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