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

Benjamin Robert Herron, CSFA

Individual provider Surgical Physician Assistant · NPI 1720522600

Benjamin Robert Herron, CSFA is a Surgical Physician Assistant in Marietta, Georgia. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

800 Kennesaw Ave NW Ste 120
Marietta, GA 30060
Phone: (470) 336-8190
Fax: (770) 336-6620
Show map & directions

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

Additional practice locations (1)

  • 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101-7127 — (470) 336-8190

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1720522600
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedDecember 12, 2016
Last updated in NPPESMay 31, 2018

Other providers in Marietta