Individual provider Active NPI

James Arthur Benn Jr., NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1790100287
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18704 Issued in SC
Practice address
Beaufort Memorial Sea Island Psychiatry
989 Ribaut Rd, Ste 330
Beaufort, SC 29902-5426
Phone
(843) 522-5600
Fax
(844) 311-9829
NPI assigned
Feb 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18704 SC Primary

Addresses

Primary practice location

Beaufort Memorial Sea Island Psychiatry
989 Ribaut Rd, Ste 330
Beaufort, SC 29902-5426

Mailing address

955 Ribaut Rd
Bmac Credentialing
Beaufort, SC 29902-5441
Phone (843) 522-5674

Other identifiers 2

IdentifierTypeStateIssuer
18704OtherSCSTATE LICENSE BOARD
NP2746MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140630001671 SC Practitioner - Nurse Practitioner 5799900015 Reassigns benefits to 1 organization
I20171109001750 AZ Practitioner - Nurse Practitioner 5799900015 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
Group practices
Beaufort County Memorial Hospital 197 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344

955 Ribaut Rd
Beaufort, SC 29902-5441

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18704SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Mar 16, 2014 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Mar 16, 2014 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Dec 15, 2017 Accepting new patients
Sierra Vista Regional Health Center Medical Group LLC CurrentSince Oct 7, 2017 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

477 E Broadway Ave
Bldg 1
Apache Junction, AZ 85119

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

115 W 2nd St
Casa Grande, AZ 85122
Phone (520) 836-1688

210 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-1688

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

989 Ribaut Rd
Ste 330
Beaufort, SC 29902
Phone (843) 522-5593

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: james.benn.1@16436.direct.athenahealth.com
  • Direct secure messaging: james.benn.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 16

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.

View all 16

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1790100287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5674",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL SEA ISLAND PSYCHIATRY",
            "address_2": "989 RIBAUT RD, STE 330",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025426",
            "telephone_number": "843-522-5600",
            "fax_number": "844-311-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENN",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-20",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "18704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE BOARD",
            "identifier": "18704",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2746",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.