Individual provider Active NPI

Erin Kathleen Benefiel, PA-C

  • Physician Assistant
  • Gastonia, NC
National Provider Identifier
1447714704
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11800 Issued in NC
Practice address
2544 Court Dr Ste G
Gastonia, NC 28054-3450
Phone
(704) 854-9990
NPI assigned
Jan 30, 2019
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085010470 IL
Physician Assistant 363A00000X 3788 TN
Physician Assistant 363A00000X 0010-11800 NC Primary

Addresses

Primary practice location

2544 Court Dr Ste G
Gastonia, NC 28054-3450

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Other practice location 1

15300 West Ave Ste 210
Orland Park, IL 60462-4686
Phone (708) 226-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220128001684 NC Practitioner - Physician Assistant 0446590020 Reassigns benefits to 4 organizations
I20240820003116 IL Practitioner - Physician Assistant 0446590020
I20251031000203 SC Practitioner - Physician Assistant 0446590020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

10650 Park Rd
Charlotte, NC 28210-8538
Phone (704) 667-0340

16455 Statesville Rd
Huntersville, NC 28078-7135
Phone (704) 801-2501

1656 Riverchase Blvd
Rock Hill, SC 29732-2084
Phone (704) 667-0880

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 468-8874

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5679SCMDOccupational Therapist
0010-11800NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 6, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 6, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Jan 23, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Feb 10, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Feb 10, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Jan 23, 2022 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

15300 West Ave
Ste 210
Orland Park, IL 60462
Phone (708) 226-2870

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

2544 Court Dr
Ste G
Gastonia, NC 28054
Phone (704) 854-9990

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1656 Riverchase Blvd
Rock Hill, SC 29732
Phone (704) 335-1813

Interoperability endpoints

  • Direct secure messaging: ebenefiel2976733@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1447714704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 COURT DR STE G",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543450",
            "telephone_number": "704-854-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15300 West Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604624686",
            "country_code": "US",
            "telephone_number": "708-226-2870",
            "fax_number": "708-226-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEFIEL",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010470",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3788",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.