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

Benjamin Jacob Hazen, MD

Individual provider Surgery Physician · NPI 1558854190

Benjamin Jacob Hazen, MD is a General Surgery in Atlanta, Georgia. Graduated from Northeastern Ohio University College of Medicine in 2018, 8 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Trained at
Northeastern Ohio University College of Medicine
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1364 Clifton Rd NE Ofc OF Surgical Education Ste H100
Atlanta, GA 30322
Phone: (404) 727-0093
Fax: (404) 712-0561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 99471 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558854190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2018
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address1364 Clifton Rd Ne, Atlanta, GA 30322-1059

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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