Individual provider Active NPI

Benjamin Eli John Levy

  • Obstetrics & Gynecology Physician
  • Ponte Vedra, FL
National Provider Identifier
1669965596
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME155730 Issued in FL
Practice address
400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Phone
(904) 640-8249
Fax
(904) 640-8250
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X ME155730 FL Primary

Addresses

Primary practice location

400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

14546 Old Saint Augustine Rd Ste 305&311
Jacksonville, FL 32258-5468
Phone (904) 260-2255

Other practice location 2

89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-5297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220623000081 FL Practitioner - Obstetrics/Gynecology 5698028025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

14546 Old Saint Augustine Rd
Suite 305
Jacksonville, FL 32258-5472
Phone (904) 260-2255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince May 1, 2022 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jun 17, 2022 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Jun 17, 2022 Accepting new patients

Locations

14546 Old St Augustine Rd
Ste 305
Jacksonville, FL 32258
Phone (904) 260-2255

9404 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 260-2255

9404 Waypoint Pl
Ste A
Jacksonville, FL 32257

10898 Baymeadows Rd
Ste 200
Jacksonville, FL 32256
Phone (904) 260-2255

14546 Old St Augustine Rd
Ste 311
Jacksonville, FL 32258
Phone (904) 260-2255

400 Colonnade Dr
Rm D2
Ponte Vedra, FL 32081

400 Colonnade Dr
Ste 230
Ponte Vedra Beach, FL 32081
Phone (904) 202-1795

5002 W Lemon St
Tampa, FL 33609

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

Interoperability endpoints

  • Direct secure messaging: benjamin.levy@wcfnf.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1669965596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COLONNADE DR STE 230",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816237",
            "telephone_number": "904-640-8249",
            "fax_number": "904-640-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14546 Old Saint Augustine Rd Ste 305&311",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585468",
            "country_code": "US",
            "telephone_number": "904-260-2255",
            "fax_number": "904-260-2251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 W Copeland Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062002",
            "country_code": "US",
            "telephone_number": "321-841-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "BENJAMIN",
        "middle_name": "ELI JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME155730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

Verify at the official NPI Registry.