Individual provider Active NPI

Benjamin Paul Stevens

  • Otolaryngology Physician
  • Laurel, MS
National Provider Identifier
1750842258
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
33490 Issued in MS
Practice address
203 S 12TH Ave
Laurel, MS 39440-4324
Phone
(601) 649-9706
Fax
(601) 649-9708
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 33490 MS Primary

Addresses

Primary practice location

203 S 12TH Ave
Laurel, MS 39440-4324

Mailing address

203 S 12TH Ave
Laurel, MS 39440-4324
Phone (601) 649-9706

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712001598 MS Practitioner - Otolaryngology 7012248081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Mississippi School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear,Nose and Throat Surgical Clinic of South Central MsGroup PAC ID 1456444546, 6 clinicians

Practice addresses (Care Compare)

203 S 12TH Ave
Laurel, MS 39440-4324
Phone (601) 649-9706

Hospital & facility affiliations

  • South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33490MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Wayne General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Ear,Nose & Throat Surgical Clinic of South Central Ms CurrentSince Jun 25, 2024 Accepting new patients
Wayne General Hospsital Past Accepting new patients
Wayne General Hospital Past Accepting new patients

Locations

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

203 S 12th Ave
Laurel, MS 39440
Phone (601) 649-9706

940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7102

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1750842258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S 12TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404324",
            "telephone_number": "601-649-9706",
            "fax_number": "601-649-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S 12TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404324",
            "telephone_number": "601-649-9706",
            "fax_number": "601-649-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "33490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.