Thomas Scott Benefield, M.D.
Individual provider Active NPI Pediatrics Physician · Lawrenceburg, TN
NPI 1184629792 · NPPES record last updated Aug 23, 2007
Key facts
- NPI
- 1184629792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD0000031694 (TN)
- Practice address
- 320 Crews St
Lawrenceburg, TN 38464-4429 - Phone
- (931) 762-3341
- Fax
- (931) 762-4577
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180126001646 | TN | Practitioner - Pediatric Medicine | 2365702057 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000031694 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Crockett, LLC | Current |
Accepting new patients | |
| Amg-Crockett, LLC | Pediatrics | Current |
Accepting new patients |
| Crockett Kids Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
Locations
1908 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7600
106 S Military St
#B
Loretto, TN 38469
Phone (931) 853-4622
1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514
Interoperability endpoints
- benefield_thomas-_md@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD0000031694 | TN | Yes |
Addresses
Primary practice location
320 Crews St
Lawrenceburg, TN 38464-4429
Mailing address
PO Box a
Lawrenceburg, TN 38464-0016
Phone (931) 762-3341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3843051 | Medicaid | TN |
Other providers in Lawrenceburg, TN
- Kalee Brooke Beckman
- Samantha Beckman
- Leslie Nicole Bedford
- Sherry Belew
- William L Bell Jr.
- Madison Taylor Bennett
- Jenna M Bennicoff
- Angela Beth Benson
- Gary Van Bentley
- Jamari Bentley
All providers in Lawrenceburg, TN · Pediatrics Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.