Individual provider Active NPI

Carla Grace Nicole Benjamin, M.D

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1083969802
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39956 Issued in KS
Practice address
2451 University Hospital Drive, Mastin 102
Mobile, AL 36617-2300
Phone
(251) 470-5890
Fax
(251) 471-7925
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 39956 KS
Infectious Disease Physician 207RI0200X MD.49251 AL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 39956 KS Primary

Addresses

Primary practice location

2451 University Hospital Drive, Mastin 102
Mobile, AL 36617-2300

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

Other practice location 1

1201 W 12th Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170620000331 KS Practitioner - Internal MedicinePractitioner - Infectious Disease 3274801022 Reassigns benefits to 5 organizations
I20241113003399 AL Practitioner - Infectious Disease 3274801022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians

Practice addresses (Care Compare)

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

3220 Cottage Hill Rd
Apt 2304
Mobile, AL 36606-3039
Phone 3165007549710

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Newman Regional Health Hospital, Emporia, KS, CCN 171384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39956KSMDInternal Medicine Physician
MD.49251ALMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Vigilias LLC Internal Medicine CurrentSince Mar 15, 2024 Accepting new patients
William Newton Memorial Hospital CurrentSince Dec 12, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Sep 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Newman Memorial County Hospital CurrentSince Jul 1, 2025 Accepting new patients
William Newton Memorial Hospital CurrentSince Dec 12, 2024 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients

Locations

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Interoperability endpoints

  • Direct secure messaging: carla.benjamin.1@18308.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1083969802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-470-5890",
            "fax_number": "251-471-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012504",
            "country_code": "US",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "CARLA",
        "middle_name": "GRACE NICOLE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "39956",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "MD.49251",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "39956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.