Benjamin R Anderson, PA-C
Individual provider Active NPI Physician Assistant · Clayton, NC
NPI 1386291102 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1386291102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001009348 (NC)
- Practice address
- 2138 NC 42
Clayton, NC 27520 - Phone
- (919) 585-8000
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191202001490 | NC | Practitioner - Physician Assistant | 5395178594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001009348 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Health Navigation LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001009348 | NC | Yes |
Addresses
Primary practice location
2138 NC 42
Clayton, NC 27520
Mailing address
7618 Almaden Way
Cary, NC 27518-9276
Phone (919) 368-0113
Other practice location 1
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 934-8171
Other providers in Clayton, NC
- Alternative Approach Treatment Center
- Always Family First Autism Services LLC.
- Always There Home Care & Consulting, LLC
- American Vets Mobility & Equipment Corp.
- Mercy Obioma Anagbogu
- Tacara Nichole Anderson
- Animal Assisted Therapy of the Triangle
- Anuvu Consulting Group
- Christina Arackal
- Ashay Counseling Agency
All providers in Clayton, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. 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.