| NPI | 1407839905 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-11-29 |
| Last Updated | 2019-10-31 |
| Mailing Address | 805 Sandy Plains Road, Medical Staff Services Marietta, GA 30066-6340 United States 📍 View Map |
| Primary Practice Address | 4550 Cobb Parkway North Nw Ste 101 Acworth, GA 30101 United States Phone: (470) 956-0100 | Fax: (770) 529-0279 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | SC | 428958 | Rural Health/ CMS |
| Other (non-Medicare) | VA | PENDING | RRMED |
| MEDICAID | SC | RHC132 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | SC | 22658 |
| Yes | 207Q00000X – Family Medicine | GA | 69843 |
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About NPI 1407839905
Benjamin R Lawless MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1407839905. The primary specialty listed is Family Medicine. The provider is located in Acworth, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407839905?
NPI 1407839905 belongs to Benjamin R Lawless MD, a Family Medicine in Acworth, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407839905 active?
The current status of NPI 1407839905 in the NPPES registry is Active. The record was last updated on 2019-10-31.
What specialty is NPI 1407839905?
NPI 1407839905 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407839905?
You can verify NPI 1407839905 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407839905?
The primary practice address on file for NPI 1407839905 is 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407839905 issued?
NPI 1407839905 was first issued (enumerated) on 2005-11-29. The NPPES record was last updated on 2019-10-31.
Practice Location Map
Benjamin R Lawless is located at 4550 Cobb Parkway North Nw Ste 101, Acworth, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Benjamin R Lawless. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1407839905. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 22658 | SC |
| Family Medicine | 69843 | GA |