JACQUELINE BENNETT C.E.O – NPI #1992597496
Technician, Pathology

JACQUELINE BENNETT is a pathology technician located in FAYETTEVILLE, GA. NPPES has assigned the NPI number 1992597496 to JACQUELINE BENNETT on May 20, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246RM2200X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Medical Laboratory

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUELINE BENNETT below.

NPI Profile for
JACQUELINE BENNETT

NPI Number
1992597496
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACQUELINE BENNETT
Credentials
C.E.O
Primary location
1139 HWY 54 E LANIER AVE SUITE J
FAYETTEVILLE, GA 30215
Phone: (470) 302-7769 Fax: (888) 666-1770
Mailing address
1545 N EXPRESSWAY UNIT 137
GRIFFIN, GA 30223-1746
Phone: (404) 934-2936 Fax: (888) 666-1770
Sole Proprietor
No
Updated
Certification Date
May 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RM2200X
- Technician, Pathology / Medical Laboratory (Primary)		 GA 9435480646JB

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.