BEN HILL FAMILY MEDICINE NPI 1184492878

NPI Information

  • NPI: 1184492878
  • Provider Name: BEN HILL FAMILY MEDICINE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D2305635
  • Address: 708 S GRANT ST STE 15
    FITZGERALD, GA
    ZIP 31750
  • Phone: (912) 309-3338

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NPI Details

BEN HILL FAMILY MEDICINE is a primary care clinic center in Fitzgerald, GA. BEN HILL FAMILY MEDICINE NPI is 1184492878. The provider is registered as an organization entity type.

The provider's business location address is:

708 S GRANT ST STE 15
FITZGERALD, GA
ZIP 31750-707
Phone: (912) 309-3338

The provider's authorized official is Beverly Denise Graham .
The authorized official title is Nurse Practitioner/incorporator and has the following contact phone number (912) 253-6163.

The CLIA number assigned to this NPI record is 11D2305635 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2023 and was last updated on 6/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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