Maeb PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAEB PLLC

Practice address

154 Huffman Mill Rd Ste 203
Burlington, NC 27215-5113

Phone

(336) 298-8088

Fax

(464) 777-8135

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Caedora Marylouise Benton, NPNPI 1427607308

Title

Owner/Ceo

Phone

(678) 499-7794

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caedora Marylouise Benton, NP, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1427607308

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1760279228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273010003",
            "telephone_number": "336-298-8088",
            "fax_number": "464-777-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HUFFMAN MILL RD STE 203",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155113",
            "telephone_number": "336-298-8088",
            "fax_number": "464-777-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAEB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "CAEDORA",
        "authorized_official_middle_name": "MARYLOUISE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-499-7794",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kervin Brandon Mack, PHARM.D., D.M.D.
• Anna Michelle Mackie, CNM
• George Christoper Maha, J.D., PHD
• Jennifer Mahoney, LMBT
• Mainstreet and Kidsstreet of North Carolina PLLC
• Pooja Jaymin Makadia, DMD
• Make Memorez CC Inc

• Psychiatric/Mental Health Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.