DR. GREGORY DANIEL BENNETT (MD) – Internal Medicine Physician, NPI 1366651507

DR. GREGORY DANIEL BENNETT (MD) is a healthcare provider. based in Macon, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 080265 (GA). The NPI Number for DR. GREGORY DANIEL BENNETT (MD) is 1366651507

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY DANIEL BENNETT (MD)
NPI
1366651507
Phone
(478) 219-9514
Address
5585 THOMASTON RD STE A600
Enumeration Date
22 May 2007
Last Update Date
31 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
4782075603
Graduation Year
2005 (21 years ago)
PAC ID
1850466210
Group Practice PAC ID
5597162842
Professional Enrollment ID
I20180820000034
Address ID
GA310214258DU1022XPKWY329
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,425 INTERNAL MEDICINE in GA

Provider Addresses for DR. GREGORY DANIEL BENNETT (MD)

  • 5585 THOMASTON RD STE A600

    MACON, GA 312208200

    Phone: (478) 219-9514

    Fax: (478) 259-2836

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • Navicent Health Baldwin, 821, North Cobb Street, Milledgeville, Baldwin County, Georgia, 31061, United States

    MILLEDGEVILLE, GA 31061

    Phone: (478) 454-3500

    Type: Location

  • 821 N Cobb St

    Milledgeville, GA 31061

    Phone: (478) 454-3500

    Type: Location

  • Ut College Of Medicine

    920 Madison Avenue Suite C50

    Memphis, TN 381630001

    Phone: (901) 448-5364

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-08-20

PECOS data refreshed: 2026-06-15

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
I20180820000034IInternal MedicineGATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg1,218107$0
87804Detection test by immunoassay with direct visual observation for influenza virus412177$0
99213Established patient office or other outpatient visit, 20-29 minutes271198$0
99214Established patient office or other outpatient visit, 30-39 minutes259196$0
J0696Injection, ceftriaxone sodium, per 250 mg24457$0
View full utilization report →

Insurance plans in this area (ZIP 31220)

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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: 5597162842View full group profile
NameSpecialtyState
General Practice, Emergency MedicineGA

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Frequently asked questions

Can I verify DR. GREGORY DANIEL BENNETT (MD) with an NPI only?
You can start verification with NPI 1366651507 for DR. GREGORY DANIEL BENNETT (MD), then check state licensing separately.
Is DR. GREGORY DANIEL BENNETT (MD) listed as active for patients and plans?
The listing shows DR. GREGORY DANIEL BENNETT (MD) as active in the NPI system.
What taxonomy line describes DR. GREGORY DANIEL BENNETT (MD)?
For research purposes, treat DR. GREGORY DANIEL BENNETT (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. GREGORY DANIEL BENNETT (MD) list a practice location?
Patients near Macon, Georgia may find DR. GREGORY DANIEL BENNETT (MD) in results; validate coverage separately.
Why does DR. GREGORY DANIEL BENNETT (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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