Individual provider Active NPI

Xaverie Lene Benedict, DO

  • Family Medicine Physician
  • Spring Hope, NC
National Provider Identifier
1508487091
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-01777 Issued in NC
Practice address
100 Dodd St
Spring Hope, NC 27882-9348
Phone
(252) 478-5412
Fax
(252) 937-3100
NPI assigned
May 6, 2020
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2023-01777 NC Primary
Family Medicine Physician 207Q00000X 390200000X KY

Addresses

Primary practice location

100 Dodd St
Spring Hope, NC 27882-9348

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200

Other practice location 1

91 Enterprise Dr
Rocky Mount, NC 27804-9590
Phone (252) 451-3200

Other practice location 2

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230711002299 NC Practitioner - Family Practice 2264891092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boice-Willis Clinic PAGroup PAC ID 0143122382, 58 clinicians

Practice addresses (Care Compare)

100 Dodd St
Spring Hope, NC 27882-9348
Phone (252) 478-5412

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390200000XKYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Boice-Willis Clinic PA Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Boice-Willis Clinic, PA CurrentSince Aug 1, 2023 Accepting new patients

Locations

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300

100 Dodd St
Spring Hope, NC 27882
Phone (252) 478-5412

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1508487091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0200",
            "fax_number": "252-451-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DODD ST",
            "city": "SPRING HOPE",
            "state": "NC",
            "postal_code": "278829348",
            "telephone_number": "252-478-5412",
            "fax_number": "252-937-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278049590",
            "country_code": "US",
            "telephone_number": "252-451-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Langdon St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425032750",
            "country_code": "US",
            "telephone_number": "606-679-7441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "XAVERIE",
        "middle_name": "LENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-01777",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "390200000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hope, NC

Sources for this page

Verify at the official NPI Registry.