Individual provider Active NPI

Garrett Benham, PA

  • Physician Assistant
  • Charlottesville, VA
National Provider Identifier
1053935825
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008574 Issued in VA
Practice address
545 Ray C Hunt Dr Ste 1100
Charlottesville, VA 22903-2981
Phone
(434) 924-5035
Fax
(434) 243-6890
NPI assigned
Jun 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1172000 DE
Physician Assistant 363A00000X 1172000
Physician Assistant 363A00000X 0110008574 VA Primary

Addresses

Primary practice location

545 Ray C Hunt Dr Ste 1100
Charlottesville, VA 22903-2981

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL benhamgarrett@gmail.com
Other URL benhamgarrett@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260309001684 VA Practitioner - Physician Assistant 4880010982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

545 Ray C Hunt Dr
Suite 1100
Charlottesville, VA 22903-2981
Phone (434) 924-5035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1172000DEMDCritical Care Medicine (Internal Medicine) Physician
0110008574VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Mar 2, 2026 Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients

Locations

545 Ray C Hunt Dr
Ste 1100
Charlottesville, VA 22903
Phone (434) 924-5035

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1053935825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 RAY C HUNT DR STE 1100",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032981",
            "telephone_number": "434-924-5035",
            "fax_number": "434-243-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAM",
        "first_name": "GARRETT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DE",
            "license": "1172000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1172000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "benhamgarrett@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "7166 Alexandra Dr Apt 6",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197028142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "benhamgarrett@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1100 Helen Dr Apt 306",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197021668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.