Jennifer Nicole Bentley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

55517 Issued in TN

Practice address

3876 New Covington Pike
Memphis, TN 38128

Phone

(901) 377-2711

Fax

(901) 382-9051

NPI assigned

Jul 8, 2014

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbentley26914@mlh.direct-ci.com
• Direct secure messaging: nwmjbentl@yourcarecommunity.org

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

• Baptist Medcare, Inc

  dba Little Rock Emergency Doctors Group

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment NPD
• Pediatric Associates,PC

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1699947432
  NPD (past)
• Primary Care Group LLC

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1093016651

  Pediatrics

  NPD (past)
• Little Rock Children's Clinic, P.a.

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1508846189
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1184030496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38128",
            "telephone_number": "901-377-2711",
            "fax_number": "901-382-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Baptist Health Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056322",
            "country_code": "US",
            "telephone_number": "501-227-6727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Baptist Health Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056322",
            "country_code": "US",
            "telephone_number": "501-227-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-10589",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "55517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367480",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martina Renate Benson, CPM, RN
• Maya Benson
• Bensons Express Pharmacy
• Bensons Pharmacy II
• Collin Taylor Bentley, APRN, FNP-C
• Latasha Benton-Johns, M.S.
• Mary E. Benton, M.D.
• Charlene A Benz, CRNA
• Kristina Jeanette Berard, PT, DPT
• Berardi Enterprises

• Pediatrics Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.