Individual provider Active NPI

Jenna M Benson, M.D.

  • Ophthalmology Physician
  • Georgetown, SC
National Provider Identifier
1487093738
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
51498 Issued in SC
Practice address
1200 Highmarket St Ste 200
Georgetown, SC 29440-3227
Phone
(843) 546-8421
Fax
(843) 546-1173
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191953 NC
Ophthalmology Physician 207W00000X 1487093738 NC
Ophthalmology Physician 207W00000X 51498 SC Primary

Addresses

Primary practice location

1200 Highmarket St Ste 200
Georgetown, SC 29440-3227

Mailing address

90 Cedar Light LN
Little River, SC 29566-6978
Phone (843) 280-8779

Other practice location 1

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

Other practice location 2

4055 Highway 17
Murrells Inlet, SC 29576-5032
Phone (843) 652-3937

Other identifiers 1

IdentifierTypeStateIssuer
514982MedicaidSC

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
I20171102002659 SC Practitioner - Ophthalmology 9436467354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vaught Eye Associates, PAGroup PAC ID 7416939715, 12 clinicians

Practice addresses (Care Compare)

1405 Main St
Conway, SC 29526-3568

1406 Main St
Conway, SC 29526-3567
Phone (843) 488-2020

Merit-based Incentive Payment System (MIPS)

Final score
76.34 of 100Reported as group
Quality
59.52
Improvement activities
40
Cost
75.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1487093738NCMDOphthalmology Physician
51498SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vaught Eye Associates, PA Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Nov 8, 2017 Accepting new patients
Vaught Eye Associates,PA Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Surgery Center of Conway, LLC PastSince May 1, 2025 Accepting new patients

Locations

1406 Main St
Conway, SC 29526
Phone (843) 488-2020

1400 Main St
Conway, SC 29526
Phone (803) 248-7272

1405 Main St
Conway, SC 29526
Phone (843) 488-2020

90 Cedar Light Ln
Little River, SC 29566
Phone (843) 280-8779

4055 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-3937

Interoperability endpoints

  • Direct secure messaging: jbenson447815@direct.musc.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487093738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CEDAR LIGHT LN",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666978",
            "telephone_number": "843-280-8779",
            "fax_number": "843-280-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHMARKET ST STE 200",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403227",
            "telephone_number": "843-546-8421",
            "fax_number": "843-546-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4055 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765032",
            "country_code": "US",
            "telephone_number": "843-652-3937",
            "fax_number": "843-652-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "191953",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "1487093738",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "51498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514982",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.