Active NPI
Benjamin Michael Weber, M.D.
- Obstetrics & Gynecology Physician
- Laurel, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12552
- Practice address
- 1002 Jefferson Street
Suite 250
Laurel, MS 39440 - Phone
- (601) 649-5421
- Fax
- (601) 399-6281
- NPI assigned
- Feb 14, 2006
- Last updated
- Oct 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12552 | MS | Primary |
Addresses
Primary practice location
1002 Jefferson Street
Suite 250
Laurel, MS 39440
Mailing address
PO Box 247
Laurel, MS 39441-0247
Phone (601) 399-6169
Other practice location 1
1203 Avenue B
Ste 300
Ellisville, MS 39437-2080
Phone (601) 477-2226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110736 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Jefferson St
Laurel, MS 39440-4306
1203 Ave B
Ellisville, MS 39437-2080
Phone (601) 477-2226
1220 Jefferson St
Laurel, MS 39440-4355
Phone (601) 399-6169
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Clinics, Inc | Current | Accepting new patients | |
| Sumrall Family Health Center | Current | Accepting new patients | |
| Healogics Specialty Physicians of Mississippi, LLC | Current | Accepting new patients | |
| Hattiesburg Community Dental Center | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients | |
| New Augusta Family Health Center | Current | Accepting new patients | |
| South Central Clinics, Inc. | Past | Accepting new patients | |
| South Central Clinics, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Women's Health Center | Past | Accepting new patients |
Locations
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188
1203 Ave B
Ste 300
Ellisville, MS 39437
Phone (601) 477-2226
1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553
62 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-4550
1008 N 15th Ave
Laurel, MS 39440
Phone (601) 426-5125
1220 Jefferson St
Laurel, MS 39440
Phone (601) 426-4000
400 Hospital Rd
Fl 3
Starkville, MS 39759
Phone (662) 615-2791
Interoperability endpoints
- mweber@direct.scrmc.com
- mweber111979@directpatientrecord.com
Organizations & group practices 9
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Natchez, MS
- NPI 1245622562
-
dba Ellisville Medical Clinic
- Family Medicine Physician
- Ellisville, MS
- NPI 1801226287
-
- Federally Qualified Health Center (FQHC)
- Sumrall, MS
- NPI 1184694036
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1366468266
-
- Federally Qualified Health Center (FQHC)
- New Augusta, MS
- NPI 1881661874
-
dba South Central Urgent Care
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1033903547
-
dba Ellisville Pediatric Clinic
- Rural Health Clinic/Center
- Ellisville, MS
- NPI 1427098003
-
dba Ellisville OB/GYN Clinic
- Obstetrics & Gynecology Physician
- Ellisville, MS
- NPI 1528498532
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1831167998
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1669446001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "LAUREL",
"state": "MS",
"postal_code": "394410247",
"telephone_number": "601-399-6169",
"fax_number": "601-399-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 JEFFERSON STREET",
"address_2": "SUITE 250",
"city": "LAUREL",
"state": "MS",
"postal_code": "39440",
"telephone_number": "601-649-5421",
"fax_number": "601-399-6281"
}
],
"practiceLocations": [
{
"address_1": "1203 Avenue B",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Ellisville",
"state": "MS",
"postal_code": "394372080",
"country_code": "US",
"telephone_number": "601-477-2226",
"fax_number": "601-477-2236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "BENJAMIN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-10-09",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "12552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110736",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.