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

S Charles Bennett IV, AA

Individual provider Anesthesiologist Assistant · NPI 1023435500

S Charles Bennett IV, AA is an Anesthesiology Assistant in Dallas, Texas. Qualified in 2013, 13 years ago. Practices with American Anesthesiology Associates of Georgia LLC, a 232-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia, Georgia and Texas.

Years since qualifying
13
Licensed in
DC, GA, TX
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Irving St Nw, Washington, DC 20010-3017 — (202) 877-7000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 9529 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence AA000040 (DC)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 1543 (TX)

Record details

NPI number1023435500
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedMarch 24, 2014
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice American Anesthesiology Associates Of Georgia Llc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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