BRYAN BENNETT (NP) – Nurse Practitioner, NPI 1255731287

BRYAN BENNETT (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-119291 (AL). The NPI Number for BRYAN BENNETT (NP) is 1255731287

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN BENNETT (NP)
NPI
1255731287
Phone
(770) 874-6854
Address
5665 NEW NORTHSIDE DR STE 320
Enumeration Date
27 August 2014
Last Update Date
27 August 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6017656292
Graduation Year
2014 (12 years ago)
PAC ID
3870815731
Group Practice PAC ID
4183517253
Professional Enrollment ID
I20171213002890
Address ID
MS394283776CO3275XEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,510 NURSE PRACTITIONER in WV

Provider Addresses for BRYAN BENNETT (NP)

  • 5665 NEW NORTHSIDE DR STE 320

    ATLANTA, GA 303285834

    Phone: (770) 874-6854

    Type: Mailing

  • 500 CHERRY ST

    BLUEFIELD, WV 247013306

    Phone: (304) 327-1656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Medtronic, Inc. ($154).

Total Amount

$154

General + Research + Ownership

Payments

1

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$154
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: 2017-12-13

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
I20171213002890INurse PractitionerMSTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2620$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2525$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 30328)

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Provider's Procedures

BRYAN BENNETT (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERWV81002Urinalysis, manual test1111

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: 4183517253View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
H O S P I T A L I S TMS
Emergency MedicineMS
Nurse PractitionerMS
Family PracticeMS
Nurse PractitionerMS
Nurse PractitionerMS
Family PracticeMS

Reviews

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Frequently asked questions

Does BRYAN BENNETT (NP) have a public NPI I can cite?
Public records show BRYAN BENNETT (NP) under NPI 1255731287.
Does the public listing show BRYAN BENNETT (NP) as active?
BRYAN BENNETT (NP)'s NPI record reflects an active status in NPPES.
What type of care does BRYAN BENNETT (NP) provide?
BRYAN BENNETT (NP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit BRYAN BENNETT (NP) in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for BRYAN BENNETT (NP), then verify phone and hours locally.
Why is information missing for BRYAN BENNETT (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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