BENTON STOUTAMIRE CNIM – NPI #1023566007
Specialist/Technologist, Other

BENTON STOUTAMIRE is a technologist located in MACON, GA. NPPES has assigned the NPI number 1023566007 to BENTON STOUTAMIRE on September 19, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was previously updated about 5 years ago on Oct 28, 2021. 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 BENTON STOUTAMIRE below.

NPI Profile for
BENTON STOUTAMIRE

NPI Number
1023566007
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BENTON STOUTAMIRE
Credentials
CNIM
Primary location
420 CHARTER BLVD STE 402A
MACON, GA 31210-4854
Phone: (478) 273-3831 Fax: (303) 922-4640
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Oct 28, 2021

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
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

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.