Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benita Nannette Hamilton, PA-C

Individual provider Physician Assistant · NPI 1780775486

Benita Nannette Hamilton, PA-C is a Physician Assistant in Dallas, Georgia. Qualified in 1996, 30 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and New York.

Years since qualifying
30
Licensed in
GA, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 Nathan Dean Blvd Ste 105
Dallas, GA 30157-4911
Phone: (470) 624-6792
Fax: (470) 202-1026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 53 Gibson Rd, Goshen, NY 10924-6709 — (845) 343-7614

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12130 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 005769-1 (NY)

Record details

NPI number1780775486
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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