NPI age
18 years
Enumerated 2007-06-12
● Active Type 2 · Organization
Subpart
Martin Army Community Hospital
Martin Army Community Hospital is 1 of 46 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Ubo Manager
Last NPPES update
2020-10-05
Source: monthly bulk 2026-05
How this organization compares
Across 46 active clinic/center providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3255 Sand Hill, 11th Abn Div Rd
Fort Benning, GA 31905
Mailing address
6600 Van Aalst Blvd Bldg 9250, Attn McXb-Pp
Fort Benning, GA 319052102
Authorized official
Kertredia Davis, MS, CRCR, CHLIS
Ubo Manager
📞 7624080007
Specialties
-
Clinic/Center PrimaryThe Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
USADC FT. BENNING SALOMON
-
USADC FT. BENNING SALOMON
Practice context
Single-site organization. Only one practice location on file.
Subpart of Martin Army Community Hospital.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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