Individual provider Active NPI

Benjamin Barry

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1033894084
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018202 Issued in NC
Practice address
530 New Waverly PL Ste 314
Cary, NC 27518-7414
Phone
(919) 642-4802
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5018202 NC Primary

Addresses

Primary practice location

530 New Waverly PL Ste 314
Cary, NC 27518-7414

Mailing address

530 New Waverly PL Ste 314
Cary, NC 27518-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003724 NC Practitioner - Nurse Practitioner 4880034743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Psychiatry and Emotional HealthGroup PAC ID 6608296744, 15 clinicians

Practice addresses (Care Compare)

530 New Waverly PL
Suite 314
Cary, NC 27518-7414
Phone (919) 854-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MD Psychiatry and Emotional Health CurrentSince Mar 4, 2024 Accepting new patients

Locations

1700 Kildaire Farm Rd
Ste 210
Cary, NC 27511
Phone (919) 341-6010

530 New Waverly Pl
Ste 314
Cary, NC 27518
Phone (919) 642-4802

6104 Fayetteville Rd
Ste 101
Durham, NC 27713
Phone (919) 908-6444

1001 Navaho Dr
Ste 204
Raleigh, NC 27609
Phone (919) 854-0021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1033894084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NEW WAVERLY PL STE 314",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW WAVERLY PL STE 314",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187414",
            "telephone_number": "919-642-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.