Active NPI
Southern Medical Consultants
Doing business as Gulf Coast ENT and Sinus
- Otolaryngology Physician
- Pace, FL
National Provider Identifier
1053606335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- SOUTHERN MEDICAL CONSULTANTS
- Doing business as
- Gulf Coast ENT and Sinus
- Practice address
- 4493 Woodbine Rd Ste 3600
Pace, FL 32571-8726 - Phone
- (256) 460-2021
- Fax
- (540) 870-6277
- NPI assigned
- Jun 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James F. Benson Jr., M.D.
- Title
- Owner
- Phone
- (256) 460-2021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
4493 Woodbine Rd Ste 3600
Pace, FL 32571-8726
Mailing address
PO Box 10444
Pensacola, FL 32524-0444
Phone (256) 460-2021
Other names 1
- Gulf Coast ENT and Sinus
National Provider Directory
National Provider DirectoryLocations
541 W College St
Ste 3600
Florence, AL 35630
Phone (256) 764-0305
4493 Woodbine Rd
Ste 3600
Pace, FL 32571
Phone (256) 460-2021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699660800000",
"number": "1053606335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10444",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325240444",
"telephone_number": "256-460-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4493 WOODBINE RD STE 3600",
"city": "PACE",
"state": "FL",
"postal_code": "325718726",
"telephone_number": "256-460-2021",
"fax_number": "540-870-6277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MEDICAL CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-14",
"last_updated": "2023-11-11",
"certification_date": "2023-11-11",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-460-2021",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gulf Coast ENT and Sinus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.