Gary Alan Benda Jr., MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2579 Issued in SC

Practice address

222 E Medical LN Ste 100&200
West Columbia, SC 29169-4847

Phone

(803) 935-8410

Fax

(803) 936-7816

NPI assigned

Aug 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbenda522405@direct.ghs.myhfn.org

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.

• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321
  Medicare reassignment Care Compare group NPD (past)
• Palmetto Health - University of South Carolina Medical Group

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1295211894
  NPD
• Prisma Health Medical Group-Midlands

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• Prisma Health Medical Group-Midlands

  • Interventional Cardiology Physician
  • Columbia, SC
  • NPI 1003307166
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1306623137
  Care Compare affiliation

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1346794732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694841",
            "telephone_number": "803-935-8410",
            "fax_number": "803-936-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MEDICAL LN STE 100&200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694847",
            "telephone_number": "803-935-8410",
            "fax_number": "803-936-7816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Palmetto Health Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121764",
            "country_code": "US",
            "telephone_number": "803-434-3800",
            "fax_number": "803-744-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDA",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2733PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shana Benson

• Physician Assistant in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.