Active NPI
Benjamin Demeyere, PA-C
- Physician Assistant
- Fort Liberty, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2817 Rock Merritt Ave Womack Army Medical Center
Fort Liberty, NC 28310-7324 - Phone
- (901) 907-8922
- Fax
- (910) 907-6069
- NPI assigned
- Jan 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave Womack Army Medical Center
Fort Liberty, NC 28310-7324
Mailing address
2817 Rock Merritt Ave Womack Army Medical Center
Fort Liberty, NC 28310-7324
Phone (901) 907-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231003001829 | NC | Practitioner - Physician Assistant | 8224482625 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Specialists of North Carolina, P.a.Pinehurst Surgical Clinic PA
Practice addresses (Care Compare)
200 Parkview E Dr B
Henderson, NC 27536-3179
Phone (919) 562-9410
5 1St Village Dr
Pinehurst, NC 28374-9495
Phone (910) 295-6831
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
- Central Carolina Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 61.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of North Carolina, P.a. | Current | Accepting new patients | |
| Spine & Pain Associates, PLLC | Past | Accepting new patients |
Locations
200 W Parkview Dr
#B
Henderson, NC 27536
11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247
1936 Golden Spur Ln
Wendell, NC 27591
Interoperability endpoints
- benjamin.demeyere.1@12529.direct.athenahealth.com
- https://api.platform.athenahealth.com/16137/brand/1/csg/1/fhir/r4
- benjamin.demeyere.1@16137.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1649327750
NC
-
- Surgery Physician
- Raeford, NC
- NPI 1275714636
-
- Surgery Physician
- Rockingham, NC
- NPI 1801077268
-
- Surgery Physician
- Fayetteville, NC
- NPI 1710609276
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sanford, NC
- NPI 1639607153
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
Hospital
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1316699838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "283107324",
"telephone_number": "901-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "283107324",
"telephone_number": "901-907-8922",
"fax_number": "910-907-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMEYERE",
"first_name": "BENJAMIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-25",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Liberty, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.