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

Keelia Elise Benner, PA

Individual provider Physician Assistant · NPI 1295317766

Keelia Elise Benner, PA is a Physician Assistant in Douglasville, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2021, 5 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6002 Professional Pkwy Ste 140
Douglasville, GA 30134-5603
Phone: (678) 715-9690
Show map & directions

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

Additional practice locations (2)

  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 874-5400
  • 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 — (678) 225-7500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10675 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295317766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 24, 2021
Last updated in NPPESFebruary 7, 2026
Certification dateFebruary 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

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