Active NPI
Jenna M Benson, M.D.
- Ophthalmology Physician
- Georgetown, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 51498
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 514982 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 59.52
- Improvement activities
- 40
- Cost
- 75.09
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 294 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1487093738 | NC | MD | Ophthalmology Physician |
| 51498 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vaught Eye Associates, PA | Ophthalmology | Current | Accepting new patients |
| Coastal Eye Group, P.C. | Ophthalmology | Current | Accepting new patients |
| Vaught Eye Associates,PA | Ophthalmology | Current | Accepting new patients |
| Surgery Center of Conway, LLC | Past | 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
- 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.
-
- Ophthalmology Physician
- Murrells Inlet, SC
- NPI 1821142266
-
- Ophthalmology Physician
- Conway, SC
- NPI 1942660931
-
- Ambulatory Surgical Clinic/Center
- Conway, SC
- NPI 1598227431
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.