Active NPI
Joseph Elliott Benson Jr., M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 16481
- Practice address
- 1107 Sequoya TRL
Columbia, TN 38401-8468 - Phone
- (931) 381-5165
- Fax
- (615) 232-8009
- NPI assigned
- Aug 25, 2006
- Last updated
- Jul 9, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 40019 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C54057 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 16481 | NV | Primary |
Addresses
Primary practice location
1107 Sequoya TRL
Columbia, TN 38401-8468
Mailing address
1107 Sequoya TRL
Columbia, TN 38401-8468
Phone (931) 381-5165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54057 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 16481 | NV | MD | Anatomic Pathology & Clinical Pathology Physician |
| 40019 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Bay Pathology, PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
6174 State Farm Dr
Rohnert Park, CA 94928
Phone (707) 586-4320
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
Organizations & group practices 4
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.
-
dba Concentra Urgent Care
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
dba Concentra Urgent Care
- Clinic/Center
- Richmond, CA
- NPI 1982893988
-
- Anatomic Pathology & Clinical Pathology Physician
- Bay City, MI
- NPI 1801983135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1790892594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 SEQUOYA TRL",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384018468",
"telephone_number": "931-381-5165",
"fax_number": "615-232-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 SEQUOYA TRL",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384018468",
"telephone_number": "931-381-5165",
"fax_number": "615-232-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "JOSEPH",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "40019",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C54057",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NV",
"license": "16481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.