BENNETT P HOGAN M.D. NPI 1205891397

NPI Information

  • NPI: 1205891397
  • Provider Name: BENNETT P HOGAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 11D0989043
  • Address: 117 W NORTHSIDE DR
    VALDOSTA, GA
    ZIP 31602
  • Phone: (229) 333-0616

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NPI Details

Bennett P Hogan, M.D. is a family medicine in Valdosta, GA with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bennett P Hogan, M.D. NPI is 1205891397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

117 W NORTHSIDE DR
VALDOSTA, GA
ZIP 31602-700
Phone: (229) 333-0616
Fax: (229) 333-0647

The NPI 1205891397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 11D0989043 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood count, hemoglobin (HCPCS:85018)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Detection test by immunoassay technique for influenza virus (HCPCS:87400)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Hospital observation care on day of discharge (HCPCS:99217)

The enumeration date for this NPI number is 4/20/2006 and was last updated on 6/27/2012.

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
1207Q00000XFamily Medicine050024GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H12511MEDICARE UPINGEORGIA
2006969MEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE NUMBER
3000906177AMEDICAIDGEORGIA

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: 3/30/2025

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