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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEELIA ELISE BENNER, PA

Active

KEELIA ELISE BENNER, PA is a Physician Assistant healthcare provider located in DOUGLASVILLE, Georgia. NPI 1295317766 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DOUGLASVILLE, GA

Registration Details

NPI Number
1295317766
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2021 (5.2757285683143 yrs)
Last Updated
Feb 7, 2026
License
10675 (GA)

Practice Information

Address
6002 PROFESSIONAL PKWY STE 140
DOUGLASVILLE, GA, 301345603
Browse GA providers · Browse ZIP 30134
Phone
6787159690
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DOUGLASVILLE, GA

Name Credential NPI
MRS. ELISABETH JACKSON GAINES I PA-C 1194706234
ROBERT JORDAN 1326149063
MR. ROGER LOUIS WEAVER PA-C 1306984323
ASHLEY S HOLLAND PA-C 1649413774
NADEGE NERETTE PA 1558790774
ANGEL RENAY BRIDGES PA-C 1316327216
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.