NPI 1144469552 · live from the CMS NPI Registry
Richard Wayne Benefield, PA-C
Physician Assistant, Surgical in Lawrenceville, GA. National Provider Identifier 1144469552, active.
NPI record
| NPI | 1144469552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 771 Old Norcross Rd Ste 390, Lawrenceville, GA 30046 |
| Practice phone | 678-957-0757 |
| Mailing address | 2001 Peachtree Rd Ne Ste 575, Atlanta, GA 30309 |
| Enumerated | February 9, 2009 |
| Last updated | August 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 5529 (GA) |
| Physician Assistant, Medical | 363AM0700X | 005529 (GA) |
| Physician Assistant, Surgical primary | 363AS0400X | 005529 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.