| Eric Benning, MD | |
|
1747 Buckhead Valley Ln Ne, Atlanta, GA 30324-2794 | |
| (404) 272-6391 | |
| (404) 320-3009 |
| Full Name | Eric Benning |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 1747 Buckhead Valley Ln Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932196755 | NPI | - | NPPES |
| 000478464H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 033527 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Four Corners Primary Care Centers, Inc. | 1951497494 | 7 |
| Southside Medical Center, Inc. | 6901700723 | 11 |
| Entity Name | Southside Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
| Entity Name | Four Corners Primary Care Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265624548 PECOS PAC ID: 1951497494 Enrollment ID: O20080117000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Benning, MD 1747 Buckhead Valley Ln Ne, Atlanta, GA 30324-2794 Ph: (404) 272-6391 | Eric Benning, MD 1747 Buckhead Valley Ln Ne, Atlanta, GA 30324-2794 Ph: (404) 272-6391 |
Khadeja Jamilia Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290 | |
Dr. Matthew J. Wilson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553 | |
Dr. Shannon Walker Ike, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000 | |
Kajal Patel, M.D, M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700 | |
Dr. Earl Stewart Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950 | |
Ms. Charvette Gaitone Shumaker-kirk, AGACNP-; AGPCNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Linden Ave Ne, Atlanta, GA 30308 Phone: 404-778-1900 | |
Mary E. Bergh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464 |