Benjamin John Averkamp, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

260959 Issued in NC

Practice address

1025 Morehead Medical Dr Ste 300
Charlotte, NC 28204-2966

Phone

(704) 446-2772

Fax

(704) 355-2467

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1043848096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042966",
            "telephone_number": "704-446-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042966",
            "telephone_number": "704-446-2772",
            "fax_number": "704-355-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERKAMP",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "260959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenue Health Care (Sky Blue Health Care)
• Avenue Homecare, Inc.
• Avenues ABA NC LLC
• Avenues to Success, Inc.
• Elizabeth Hill Averick, DC
• Michael William Aversano, MD
• Avery Enterprises (Comprehensive Services for Seniors and Disabled Individuals)
• Caudrean Latiste Avery-Benjamin, MD
• Andrew John Avery, M.D.
• Kayla Michelle Avery, MD

• Orthopaedic Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.