Individual provider Active NPI

Andrew David Benefield, M.D.

  • Emergency Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1457585259
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
TRN13445 Issued in FL
Practice address
655 W. Eighth St.
Clinical Center, 1St Floor
Jacksonville, FL 32209
Phone
(904) 244-3837
Fax
(904) 244-4508
NPI assigned
May 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TRN13445 FL Primary
Emergency Medicine Physician 207P00000X ME116742 FL
Emergency Medicine Physician 207P00000X 068364 GA

Addresses

Primary practice location

655 W. Eighth St.
Clinical Center, 1St Floor
Jacksonville, FL 32209

Mailing address

655 W. Eighth St. Box C506
Clinical Center, 1St Floor
Jacksonville, FL 32209
Phone (904) 244-3837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150825003775 WA Practitioner - Emergency Medicine 1658528781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tacoma Emergency Care Physicians PLLCGroup PAC ID 5294971800, 83 clinicians

Practice addresses (Care Compare)

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN13445FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine Current Accepting new patients
Olympia Emergency Care Physicians PLLC Emergency Medicine CurrentSince Sep 12, 2022 Accepting new patients

Locations

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 4

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.

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1457585259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W. EIGHTH ST. BOX C506",
            "address_2": "CLINICAL CENTER, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3837",
            "fax_number": "904-244-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W. EIGHTH ST.",
            "address_2": "CLINICAL CENTER, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3837",
            "fax_number": "904-244-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEFIELD",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "TRN13445",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME116742",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "068364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.