NPIMap

Individual provider Active NPI

Jami Luann Benton, M.D.

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1639224264
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24348 Issued in OK
Practice address
915 E Garriott Rd Ste B
Enid, OK 73701-6153
Phone
(580) 242-4300
Fax
(580) 242-4306
NPI assigned
Jan 24, 2007
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24348 OK Primary

Addresses

Primary practice location

915 E Garriott Rd Ste B
Enid, OK 73701-6153

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (580) 242-4300

Other identifiers 1

IdentifierTypeStateIssuer
20165160AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080916000162 OK Practitioner - Family Practice 7416024542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Central del Caribe Escuela de Medicina, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Family Clinic PLLCGroup PAC ID 2769872530, 4 clinicians

Practice addresses (Care Compare)

5202 W Owen K Garriott Rd
Suite B
Enid, OK 73703-4611
Phone (580) 616-3007

620 S Madison St
Integris Medical Group Enid
Enid, OK 73701-7273
Phone (580) 233-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24348OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center Family Medicine Current Accepting new patients
Integris Bass Baptist Health Center CurrentSince Nov 22, 2018 Accepting new patients
Faith Family Clinic PLLC Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Integris Bass Baptist Health Center CurrentSince Nov 22, 2018 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Fairview Regional Medical Center Authority Past Accepting new patients
GBV Enterprises Inc Past Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Billings Fairchild Center Past Accepting new patients
Summit Medical Center Past Accepting new patients
Fairchild Home and Community Based Services, LLC Past Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Baptist Village Retirement Communities of Oklahoma Inc Past Accepting new patients
Oklahoma Homes for the Developmentally Disabled, LLC Past Accepting new patients
Fairview Fellowship Home for Senior Citizens, Inc. Past Accepting new patients
Oklahoma Homes for the Developmentally Disabled, LLC Past Accepting new patients
Integris Rural Health, Inc Family Medicine Past Accepting new patients
Integris Rural Health Inc. Family Medicine Past Accepting new patients
Oklahoma Homes for the Developmentally Disabled, LLC Past Accepting new patients
Integris Rural Health, Inc. Past Accepting new patients

Locations

221 S Grand Ave
Cherokee, OK 73728
Phone (580) 307-6263

4125 W Owen K Garriott Rd
Ste A1
Enid, OK 73703
Phone (580) 616-3007

5202 W Owen K Garriott Rd
Ste B
Enid, OK 73703
Phone (580) 616-3007

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

620 S Madison St
Enid, OK 73701
Phone (405) 242-7020

523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

1084 Nickerson St
Waynoka, OK 73860
Phone (580) 824-2281

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1639224264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-242-4300",
            "fax_number": "580-242-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E GARRIOTT RD STE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016153",
            "telephone_number": "580-242-4300",
            "fax_number": "580-242-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "JAMI",
        "middle_name": "LUANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20165160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.