Active NPI
Eugene H Maynard Jr., M.D.
- Family Medicine Physician
- Benson, NC
National Provider Identifier
1740216506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9401448
- Practice address
- 3333 NC Highway 242 N
Benson, NC 27504-7844 - Phone
- (919) 894-2011
- Fax
- (919) 894-7645
- NPI assigned
- Jun 24, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9401448 | NC | Primary |
Addresses
Primary practice location
3333 NC Highway 242 N
Benson, NC 27504-7844
Mailing address
PO Box 399
Benson, NC 27504-0399
Phone (919) 894-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8954993 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eugene-maynard@bensonmedical.e-mdsdirect.com |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 NC Hwy 242 N
Benson, NC 27504-7844
Phone (910) 894-2011
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benson Area Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
Locations
3333 NC Highway 242 N
Benson, NC 27504
Phone (910) 894-2011
Interoperability endpoints
- eugene-maynard@bensonmedical.e-mdsdirect.com
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Benson, NC
- NPI 1831130798
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital
- General Acute Care Hospital
- Dunn, NC
- NPI 1922144757
-
- Community Based Hospice Care Agency
- Goldsboro, NC
- NPI 1558396622
Home health agency
-
- Home Health Agency
- Goldsboro, NC
- NPI 1750337366
-
dba Johnston Health
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
-
dba Liberty Home Care II, LLC
- Home Health Agency
- Dunn, NC
- NPI 1366498834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1740216506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 399",
"city": "BENSON",
"state": "NC",
"postal_code": "275040399",
"telephone_number": "919-894-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 NC HIGHWAY 242 N",
"city": "BENSON",
"state": "NC",
"postal_code": "275047844",
"telephone_number": "919-894-2011",
"fax_number": "919-894-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "EUGENE",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9401448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8954993",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eugene-maynard@bensonmedical.e-mdsdirect.com",
"affiliation": "N",
"address_1": "3333 Nc Highway 242 N",
"city": "Benson",
"state": "NC",
"country_code": "US",
"postal_code": "275047844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Benson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.