NATASHA BENNETT (DO) – Pediatrics Physician, NPI 1598261935
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 PEDIATRIC MEDICINE in GA
Provider Addresses for NATASHA BENNETT (DO)
1635 ELGAEN PLACE DR
ROSWELL, GA 300752593
Phone: (609) 351-2093
Type: Mailing
2220 N DRUID HILLS RD NE
ATLANTA, GA 303293117
Phone: (404) 785-0209
Type: Location
6522, Southern Trace Dr, Leeds, Jefferson County, Alabama, 35094, United States
LEEDS, AL 350946605
Phone: (609) 351-2093
Type: Mailing
Children's Hospital of Michigan, 3901, Beaubien Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482012119
Phone: (313) 966-0254
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: 2023-07-14
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 |
|---|---|---|---|---|
| I20230714001955 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Emergency Medicine | SC | |
| Emergency Medicine | SC | |
| Emergency Medicine | CA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Pediatric Medicine | NC | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA |
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