| Wingard Primary Care, Llc | |
|
1325 Commerce Dr Ste 200 Peachtree City GA 30269-3582 | |
| (770) 692-7575 | |
| (770) 692-7570 |
| Full Name | Wingard Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1325 Commerce Dr Ste 200, Peachtree City, Georgia |
| Authorized Official Name and Position | Ray Burnett Bennett (PHYSICIAN) |
| Authorized Official Contact | 7706927575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wingard Primary Care, Llc 1325 Commerce Dr Ste 200 Suite 200 Peachtree City GA 30269-3582 Ph: (770) 692-7575 | Wingard Primary Care, Llc 1325 Commerce Dr Ste 200 Peachtree City GA 30269-3582 Ph: (770) 692-7575 |
| NPI Number | 1326387820 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 09/30/2025 |
| Medicare PECOS PAC ID | 8426289828 |
|---|---|
| Medicare Enrollment ID | O20140328000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326387820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 056526 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | (Georgia) | Primary |
| Provider Name | Ray Burnett Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841317138 PECOS PAC ID: 7416915772 Enrollment ID: I20070430000325 |
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