NPI age
1 years
Enumerated 2025-05-20
● Active
Type 1 · Individual
Jacqueline Bennett, C.E.O
Bennett is 1 of 2 technician, pathology providers in Fayetteville and 1 of 37 in Georgia.
Primary specialty
Technician, Pathology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 37 active technician, pathology providers in Georgia.
NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-05Enumerated in NPPES
2025
2026
Where they practice
Practice location
1139 Hwy 54 E Lanier Ave Suite J
Fayetteville, GA 30215
Mailing address
1545 N Expressway Unit 137
Griffin, GA 302231746
Specialties
-
Technician, Pathology PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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