JOHN CHARLES BENNETT (MD) – Surgery Physician, NPI 1164470761

JOHN CHARLES BENNETT (MD) is a healthcare provider. based in Albany, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 057581 (GA). The NPI Number for JOHN CHARLES BENNETT (MD) is 1164470761

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JOHN CHARLES BENNETT (MD)
NPI
1164470761
Phone
(229) 312-5839
Address
500 W 3RD AVE
Enumeration Date
5 May 2006
Last Update Date
8 February 2017

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2293125133
Graduation Year
1996 (30 years ago)
PAC ID
1456341916
Group Practice PAC ID
8426112350
Professional Enrollment ID
I20061018000016
Address ID
GA317011959AL425XXAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for JOHN CHARLES BENNETT (MD)

  • 500, West 3rd Avenue, Albany, Dougherty County, Georgia, 31701, United States

    SUITE 101

    ALBANY, GA 317011985

    Phone: (229) 312-5839

    Fax: (229) 312-5853

    Type: Mailing

  • 425, West 3rd Avenue, Albany, Dougherty County, Georgia, 31701, United States

    SUITE 410

    ALBANY, GA 317011941

    Phone: (229) 312-0707

    Fax: (229) 312-0705

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,479.

Total Amount is formed as General ($1,479) + Research ($0) + Ownership ($0) = $1,479.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,098).

Total Amount

$1,479

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2006-10-18

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
I20061018000016IGeneral SurgeryGATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes3027$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99202New patient office or other outpatient visit, 15-29 minutes1818$0
45380Biopsy of large bowel using a flexible endoscope1717$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 31701)

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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: 8426112350View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
-GA
Internal MedicineGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Critical Care (Intensivists), Infectious DiseaseIN
Internal MedicineGA
Internal MedicineGA
Pulmonary Disease, Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN CHARLES BENNETT (MD)'s NPI?
Yes. JOHN CHARLES BENNETT (MD) is listed with NPI 1164470761 in the public NPI dataset.
Can I rely on JOHN CHARLES BENNETT (MD) being an active provider?
As of the registry snapshot, JOHN CHARLES BENNETT (MD) is marked active.
What healthcare role does JOHN CHARLES BENNETT (MD) hold?
Scheduling teams often label JOHN CHARLES BENNETT (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
Does JOHN CHARLES BENNETT (MD) list a practice location?
Patients near Albany, Georgia may find JOHN CHARLES BENNETT (MD) in results; validate coverage separately.
Why does JOHN CHARLES BENNETT (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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