Benita L Phillips, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2074 Issued in TN

Practice address

501 Long Hollow Pike Ste a
Goodlettsville, TN 37072-3448

Phone

(158) 660-9006

Fax

(615) 622-2447

NPI assigned

Sep 27, 2005

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Benita L Swartout Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 1, 2012 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Benita Swartout DO PC

  dba BodyLogicMD of Nashville

  • Specialist
  • Nashville, TN
  • NPI 1861625253
  NPD
• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1740276534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LONG HOLLOW PIKE STE A",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723448",
            "telephone_number": "615-866-0900",
            "fax_number": "615-622-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LONG HOLLOW PIKE STE A",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723448",
            "telephone_number": "158-660-9006",
            "fax_number": "615-622-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BENITA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO 810",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51516692",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51516692",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITA",
            "last_name": "SWARTOUT",
            "middle_name": "L",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara J Patterson, MD
• Kevin D. Payne
• Perkins-Janicek Psychiatric Group, PLLC (Premier Psychiatric Services)
• Perkins-Janicek Wellness Group PLLC (Premier Total Wellness)
• Trey Perkins, NP
• Phoenix Comprehensive Health Care Services,LLC (Colossal Family Health Center)
• Phoenix Equestrian Center LLC
• Phoenix Medical Group PLLC
• Evelyn Aychel Pichardo-Hernandez
• Elizabeth P Pierce, MD

• Family Medicine Physician in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.