IndividualActive
Casey Jo Bennett
NPI 1144680034 · Obstetrics & Gynecology Nurse Practitioner · Moultrie, GA
Provider details
- NPI number
- 1144680034
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN188746 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
115 31st Ave Se
Moultrie, GA 31768-6771
Phone: (229) 502-9788
Fax: (229) 890-2166
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2876
Moultrie, GA 31776-2876
Registry dates
- Enumerated
- 2016-03-04
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.