Active NPI
Benjamin James Mucci, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-15330
- Practice address
- 125 Queens Rd Ste 250
Charlotte, NC 28204-3419 - Phone
- (704) 316-5100
- Fax
- (704) 316-5101
- NPI assigned
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-15330 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 005065 | CT | |
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
125 Queens Rd Ste 250
Charlotte, NC 28204-3419
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
80 Seymour St
Hartford Hospital Cardiology Dept
Hartford, CT 06102-8000
Phone (860) 972-2795
Other practice location 2
85 Seymour St Ste 1022
Hartford, CT 06106-5530
Phone (860) 972-3570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
125 Queens Rd
Charlotte, NC 28204-3215
Phone (980) 302-6450
134 Medical Park Rd
Suite 200
Mooresville, NC 28117-8527
Phone (704) 384-7972
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005065 | CT | MD | Clinical Social Worker |
| 0010-15330 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Surgical | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
85 Seymour St
Ste 1022
Hartford, CT 06106
Phone (860) 524-1175
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530
134 Medical Park Rd
Ste 200
Mooresville, NC 28117
Phone (704) 384-7972
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- bmucci1717095@direct.novanthealth.org
Organizations & group practices 12
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Surgical
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Rheumatology Physician
- Charlotte, NC
- NPI 1679090468
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1811610058
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1265061808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043419",
"telephone_number": "704-316-5100",
"fax_number": "704-316-5101"
}
],
"practiceLocations": [
{
"address_1": "80 Seymour St",
"address_2": "Hartford Hospital Cardiology Dept",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061028000",
"country_code": "US",
"telephone_number": "860-972-2795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 Seymour St Ste 1022",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061065530",
"country_code": "US",
"telephone_number": "860-972-3570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUCCI",
"first_name": "BENJAMIN",
"middle_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-15330",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "005065",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.