Casey Jo Bennett
Casey Jo Bennett is a Nurse Practitioner in Moultrie, Georgia. Qualified in 2016, 10 years ago. Practices with Southeastern Urogynecology and Pelvic Surgery LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 10
- Licensed in
- GA
- In the registry since
- 2016
Practice location Address checks out
115 31st Ave SEMoultrie, GA 31768-6771
Phone: (229) 502-9788
Fax: (229) 890-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Nurse Practitioner (primary) | Taxonomy 363LX0001X · Licence RN188746 (GA) |
|---|
Record details
| NPI number | 1144680034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 4, 2016 |
| Last updated in NPPES | September 8, 2025 |
| Certification date | September 8, 2025 |
| Mailing address | Po Box 2876, Moultrie, GA 31776-2876 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Southeastern Urogynecology And Pelvic Surgery Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Moultrie
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Jacquelyn Elaine Roberts, ARNP
115 31st Ave SE, Moultrie, GA 31768-6771 · (229) 890-1665