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

Maci Benveniste

Individual provider Medical Physician Assistant · NPI 1750270229

Maci Benveniste is a Physician Assistant in Roswell, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2025, 1 year ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group and accepts Medicare assignment.

Years since qualifying
1
Trained at
Philadelphia College of Osteopathic Medicine
In the registry since
2025

Practice location Address checks out

1357 Hembree Rd Ste 250
Roswell, GA 30076-5724
Phone: (770) 754-0787
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1750270229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address2544 Arthurs Ct Ne, Marietta, GA 30062-5203

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roswell