Individual provider Active NPI

James Michael Benner, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • North Charleston, SC
National Provider Identifier
1447336177
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
17733 Issued in SC
Practice address
9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155
Phone
(843) 553-5616
Fax
(843) 764-2917
NPI assigned
Oct 27, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 17733 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155

Mailing address

9313 Medical Plaza Dr
Suite 304
North Charleston, SC 29406-9155
Phone (843) 553-5616

Other identifiers 1

IdentifierTypeStateIssuer
177338MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JAMES.BENNER@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000421 SC Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 3274584065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

Practice addresses (Care Compare)

9313 Medical Plaza Dr
Suite 304
Charleston, SC 29406-9197
Phone (843) 553-5616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
78.15
Promoting interoperability
98
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)37
Leg revascularization (restoring blood flow)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17733SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Associates, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 10, 2012 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients
Palmetto Cardiovascular and Thoracic Assoc PA Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Feb 1, 2000 Accepting new patients

Locations

9313 Medical Plaza Dr
Ste 304
North Charleston, SC 29406
Phone (803) 553-2909

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1447336177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "SUITE 304",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-553-5616",
            "fax_number": "843-764-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "SUITE 304",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-553-5616",
            "fax_number": "843-764-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "17733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177338",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JAMES.BENNER@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9313 Medical Plaza Dr",
            "address_2": "SUITE 304",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.