Organization Active NPI

Southern Medical Consultants

Doing business as Gulf Coast ENT and Sinus

  • Otolaryngology Physician
  • Pace, FL
National Provider Identifier
1053606335
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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

Updated by the provider on Nov 11, 2023

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.