Alexis Benjamin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-02135 Issued in NC

Practice address

700 S Torrence St Ste 100
Charlotte, NC 28204-3077

Phone

(704) 372-9393

NPI assigned

Feb 25, 2010

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22550/brand/1/csg/1/fhir/r4
• Direct secure messaging: alexis.benjamin.1@2847.direct.athenahealth.com

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.

• Cohesion Behavioral and Wellness Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Mount Gilead, NC
  • NPI 1972449791
  NPD Authorized official
• Family Care Associates of Montgomery County PA

  • Family Medicine Physician
  • Troy, NC
  • NPI 1710963335
  Medicare reassignment
• Metrolina Internal Medicine PA

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1326000845
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1649592189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SOUTH TORRENCE STREET",
            "address_2": "SUITE100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-372-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TORRENCE ST STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043077",
            "telephone_number": "704-372-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ALEXIS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Sue Benish, LMBT
• Elba Carolina Benitez, PHD, LPC, NCC
• Mary Ann Benitez
• Benjamin F. Dyer D.D.S.
• Solange N.M. Benjamin-Bryant, MD
• Charmaine Benjamin, LMBT
• Jadine Benjamin
• Sanford P Benjamin, MD
• Terry Demoskio Benjamin, CPSS
• Theresa Benjamin

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.