Individual provider Active NPI

Christine Benigar, PA-C

  • Physician Assistant
  • Knightdale, NC
National Provider Identifier
1427043330
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102947 Issued in NC
Practice address
6807 Knightdale Blvd Ste C
Knightdale, NC 27545-6563
Phone
(919) 217-5510
Fax
(919) 217-5501
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102947 NC Primary

Addresses

Primary practice location

6807 Knightdale Blvd Ste C
Knightdale, NC 27545-6563

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Christine.Benigar@forefrontdermatology.emadirect.md

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001115 NC Practitioner - Physician Assistant 2264418946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

6807 Knightdale Blvd
Suite C
Knightdale, NC 27545-6563
Phone (919) 217-5510

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102947NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince May 1, 2019 Accepting new patients
Forefront Dermatology, S.C. CurrentSince May 1, 2019 Accepting new patients
Carolina Skin Care, PA PastSince May 9, 1997 Accepting new patients
Southern Dermatology, P.a. PastSince Feb 1, 2021 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

2613 Hospital Rd
Goldsboro, NC 27534
Phone (919) 736-0222

6807 Knightdale Blvd
Ste C
Knightdale, NC 27545
Phone (919) 217-5510

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: cbenigar@directaddress.net
  • Direct secure messaging: christine.benigar@forefrontdermatology.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1427043330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 KNIGHTDALE BLVD STE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456563",
            "telephone_number": "919-217-5510",
            "fax_number": "919-217-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIGAR",
        "first_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christine.Benigar@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "6807 Knightdale Blvd Ste C",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275456563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.