Jodie B Benton, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Birmingham, AL
NPI 1497775548 · NPPES record last updated Sep 2, 2015
Key facts
- NPI
- 1497775548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 24407 (AL)
- Practice address
- 800 Saint Vincents Dr
North Tower Suite 600
Birmingham, AL 35205-1620 - Phone
- (205) 271-1600
- Fax
- (205) 271-3167
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in New Orleans, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henderson and Walton Womens Center PC
Practice addresses (Care Compare)
806 Saint Vincents Dr
Suite 500
Birmingham, AL 35205-1616
Phone 20593018001847
Hospital & facility affiliations
- St Vincent'S Birmingham
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823001048 | AL | Practitioner - Obstetrics/Gynecology | 0749254043 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24407 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Associates of Alabama P C | Obstetrics & Gynecology | Current |
Accepting new patients |
| Henderson & Walton Womens Center PC | Obstetrics & Gynecology | Current |
Accepting new patients |
| St. Vincent'S Birmingham | Past | Accepting new patients |
Locations
800 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 271-1600
806 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 930-1800
800 Saint Vincents Dr
Ste 600
Birmingham, AL 35205
Phone (205) 271-1600
2217 Decatur Hwy
Ste 200
Gardendale, AL 35071
2217 Decatur Hwy
Ste 123
Gardendale, AL 35071
Phone (205) 418-1293
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.433
- jbenton@hendersonwalton.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24407 | AL | Yes |
Addresses
Primary practice location
800 Saint Vincents Dr
North Tower Suite 600
Birmingham, AL 35205-1620
Mailing address
800 Saint Vincents Dr
Suite 600
Birmingham, AL 35205-1620
Phone (205) 271-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009962235 | Medicaid | AL |
Other providers in Birmingham, AL
- Jessica Nicole Bentley
- Kathryn Ashley Bentley
- Matthew B Bentley
- Melissa Bentley
- Elizabeth Cason Benton
- Melissa H Benton
- Stacie Porter Berck
- Abigail Catherine Berger
- Chelsea Alanah Berger
- Julia Randolph Berger
All providers in Birmingham, AL · Obstetrics & Gynecology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.