NPI age
13 years
Enumerated 2012-06-04
● Active Type 2 · Organization
Ellen M Benson Llc
Ellen M Benson Llc is 1 of 247 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Benson
Owner
Last NPPES update
2013-05-17
Source: monthly bulk 2026-05
How this organization compares
Across 247 active clinic/center providers in Georgia.
NPI age
13 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
345 Boulevard Ne, Suite 100
Atlanta, GA 303121216
Mailing address
762 Weybourne Ct
Marietta, GA 300664804
Authorized official
Ellen M Benson, MSN, APRN, BC
Owner
📞 4042421962
Individual providers at this organization
3 individual providers on file at this primary practice address.
- George Angelich, LCSW Counselor NPI 1487817144
- Michael Dykes, LCSW Social Worker NPI 1891131785
- Jon Patterson, LPC Counselor NPI 1891940854
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202G704527 | MEDICARE PTAN |
| 05 (GA) | 455012559A |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.