Active NPI
Benton Johnson, MD
- Diagnostic Radiology Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 62158
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Jul 7, 2014
- Last updated
- Jul 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL36899 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 62158 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical University of South Carolina College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 644-1357
4350 Towne Centre Dr
Suite 1000
Evans, GA 30809-3328
Phone (706) 868-3940
Hospital & facility affiliations
- Aiken Regional Medical Center
- Piedmont Augusta Hospital
- Doctors Hospital
- Burke Medical Center
- University McDuffie County Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36899 | SC | MD | Pharmacist |
| 62158 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Evans Imaging, LLC | Current | Accepting new patients | |
| Stephen W. Brown and Radiology Associates of Augusta LLP | Diagnostic Radiology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Health Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Au Medical Associates Inc | Current | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1125 Troupe St
Augusta, GA 30904
Phone (706) 738-7977
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
3610 Wheeler Rd
Augusta, GA 30909
Phone (706) 210-9500
3624 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 561-6501
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
818 Saint Sebastian Way
Ste 100
Augusta, GA 30901
Phone (706) 722-3574
4350 Towne Centre Dr
Evans, GA 30809
Phone (706) 724-4400
4350 Towne Centre Dr
Ste 1000
Evans, GA 30809
Phone (706) 868-3940
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Augusta, GA
- NPI 1265540314
SC
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Diagnostic Radiology Physician
- Augusta, GA
- NPI 1487285193
-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Radiology Clinic/Center
- Evans, GA
- NPI 1144407750
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Family Medicine (Cartersville)
- Family Medicine Physician
- Cartersville, GA
- NPI 1588059653
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
-
dba Doctors Hospital (Augusta)
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
dba Piedmont McDuffie Hospital
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1467868935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BENTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-07",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL36899",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "62158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.