Eric Samuel Benjamin, PA - C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12238 Issued in GA

Practice address

1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928

Phone

(912) 354-6303

Fax

(912) 355-8655

NPI assigned

Jan 24, 2020

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC, GA, SC3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ochsner 65 Plus Savannah LLCGroup PAC ID 1557867843, 3 clinicians

Optimum Health LLCGroup PAC ID 8921540683, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.benjamin.1@30467.direct.athenahealth.com

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.

• Ochsner 65 Plus Savannah LLC

  dba Ochsner 65 Plus- Savannah

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1508680679
  Medicare reassignment Care Compare group NPD
• Optimum Health LLC

  • Family Medicine Physician
  • Alexandria, VA
  • NPI 1417723545

  DC

  Medicare reassignment Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• SJ SC Cardiology LLC

  • Cardiovascular Disease Physician
  • Savannah, GA
  • NPI 1245694496
  Medicare reassignment
• Ochsner 65 Plus HH Okatie Crossing

  dba Ochsner 65 Plus- Okatie

  • Internal Medicine Physician
  • Ridgeland, SC
  • NPI 1497455232
  Medicare reassignment
• Alexandria Optimum Health LLC

  dba Optimum Health LLC

  • Urgent Care Clinic/Center
  • Alexandria, VA
  • NPI 1710799465
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279
  NPD (past)
• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health Home Care

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1689882557
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1275163529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN STE 350",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103256",
            "telephone_number": "703-678-1881",
            "fax_number": "833-973-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-354-6303",
            "fax_number": "912-355-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6354 Walker Ln Ste 350",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223103256",
            "country_code": "US",
            "telephone_number": "703-722-6700",
            "fax_number": "833-973-3867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ERIC",
        "middle_name": "SAMUEL",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-24",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2228",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007765",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0110007765",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275163529",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA2228",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine J Beltrami, MS/OTR/L
• Bria Bembery
• Dominic Bendetti, DPT
• Andrea Benford, FNP
• Sarah D. Benhase, NP
• Onecia Alexis Benjamin, M.D.
• Anne Marie Bennett, DNP, APRN, ACNP-BC
• Betty B Bennett, RN, CNS/PMH
• Elizabeth Bennett, O.D.
• Hayley Keiara Bennett

• Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.
• 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.

Verify at the official NPI Registry.