George Benavidez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F3040 Issued in TX

Practice address

7121 S Padre Island Dr
Ste 300
Corpus Christi, TX 78412-4938

Phone

(361) 696-6043

Fax

(361) 696-6020

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbenavidez269729@christushealth.direct-ci.net

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Thomas-Spann Clinic, P.a.

  • Clinical Medical Laboratory
  • Corpus Christi, TX
  • NPI 1013994847
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1598749129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6409",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666409",
            "telephone_number": "361-696-6200",
            "fax_number": "361-696-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR",
            "address_2": "STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124938",
            "telephone_number": "361-696-6043",
            "fax_number": "361-696-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDEZ",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139473612",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Jean Benavides, RBT
• Jaclyn Benavides, LPC
• Jonathan Alexander Benavides, ATC
• Madalenn Benavides
• Sarah Esther Benavides, FNP
• Madeline Dover Benavidez, MSN
• Melanie Faith Benavidez
• Micaela Elizabeth Xochit Benavidez, PSY.D.
• Peggy Benavidez
• Lucy Mae Benner, PA-C

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.