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

Kenneth B Bingham, PA

Individual provider Physician Assistant · NPI 1770131104

Kenneth B Bingham, PA is a Physician Assistant in Fayetteville, Georgia. Qualified in 2019, 7 years ago. Practices with Rome Orthopaedic Center PC, a 17-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1336 Highway 54 W Bldg 500
Fayetteville, GA 30214-4574
Phone: (770) 461-1238
Fax: (770) 460-6610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9270 (GA)

Record details

NPI number1770131104
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address1336 Highway 54 W Bldg 500, Fayetteville, GA 30214-4574

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rome Orthopaedic Center Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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