Individual provider Active NPI

Gregory Thomas Benton, MD

  • Emergency Medicine Physician
  • Covington, LA
National Provider Identifier
1396777421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
199991 Issued in LA
Practice address
95 E Fairway Dr
Lakeview Medical Center
Covington, LA 70433-7500
Phone
(985) 867-4000
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 199991 LA Primary

Addresses

Primary practice location

95 E Fairway Dr
Lakeview Medical Center
Covington, LA 70433-7500

Mailing address

871 Cole CT
Covington, LA 70433-7904
Phone (504) 432-6458

Other identifiers 1

IdentifierTypeStateIssuer
1063941MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000214 LA Practitioner - Emergency Medicine 6002844057 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199991LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Children's Hospital CurrentSince Feb 1, 2025 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc Emergency Medicine CurrentSince Apr 1, 2009 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jun 1, 2017 Accepting new patients
Keith Van Meter & Associates Past Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396777421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 COLE CT",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337904",
            "telephone_number": "504-432-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E FAIRWAY DR",
            "address_2": "LAKEVIEW MEDICAL CENTER",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-867-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "199991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063941",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.