P Praxis·MD
● Active Type 1 · Individual

MRS. Sally D Bennett, APRN BC FNP

Nurse Practitioner·Kingsland, GA· NPI 1336181536 · Enumerated 2006 · 19 years on NPI
Bennett is 1 of 15 nurse practitioner providers in Kingsland and 1 of 8826 in Georgia.
NPI age
19 years
Enumerated 2006-06-12
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-08-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
130 N Gross Rd, Ste 201
Kingsland, GA 31548
📞 9127292795fax 9127294117
Mailing address
130 N Gross Rd Ste 201
Kingsland, GA 315486277
📞 9127292795fax 9127294117

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN094886 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (GA) 5000021728 RR MC
05 (GA) 00830244C
05 (GA) 00830244D

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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