NPIMap

Individual provider Active NPI

Benjamin James Colvin

  • Family Nurse Practitioner
  • Montgomery, LA
National Provider Identifier
1730425281
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07366 Issued in LA
Practice address
641 Rowena St
Montgomery, LA 71454-6313
Phone
(318) 646-3000
Fax
(318) 646-3003
NPI assigned
Jan 2, 2013
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07366 LA Primary
Registered Nurse 163W00000X 120031 LA

Addresses

Primary practice location

641 Rowena St
Montgomery, LA 71454-6313

Mailing address

105 Commanche TRL
Pineville, LA 71360-4403
Phone (318) 663-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20131024001527 LA Practitioner - Nurse Practitioner 9335374586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Kings Dr
Pineville, LA 71360-2501
Phone (318) 663-4914

PO Box
Suite 37
Montgomery, LA 71454

PO Box
Suite 37
Montgomery, LA 71454-0037

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
120031LAMDRegistered Nurse
AP07366LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Colvin NP Family CurrentSince Mar 15, 2025 Accepting new patients
Dry Prong Family Clinic, LLC CurrentSince Jun 12, 2018 Accepting new patients
BJC Healthcare, LLC CurrentSince Jul 30, 2016 Accepting new patients
Winn Community Health Center, Inc. CurrentSince May 1, 2026 Accepting new patients
Winn Community Health Center, Inc. PastSince May 1, 2026 Accepting new patients

Locations

21239 Highway 167
Dry Prong, LA 71423
Phone (318) 373-2078

800 Grove St
Dry Prong, LA 71423
Phone (318) 568-8298

641 Rowena St
Montgomery, LA 71454
Phone (318) 354-9348

Interoperability endpoints

  • Direct secure messaging: benjamin.colvin.1@14634.direct.athenahealth.com
  • Direct secure messaging: benjamin.colvin.2@14634.direct.athenahealth.com
  • Direct secure messaging: benjamin.colvin@chartlogic.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14634/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1730425281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COMMANCHE TRL",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604403",
            "telephone_number": "318-663-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 ROWENA ST",
            "city": "MONTGOMERY",
            "state": "LA",
            "postal_code": "714546313",
            "telephone_number": "318-646-3000",
            "fax_number": "318-646-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07366",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "120031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, LA

Sources for this page

Verify at the official NPI Registry.