Darrell Allan Benton, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1811280464 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1811280464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 54462 (TN)
- Practice address
- 1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647 - Phone
- (865) 558-9862
- Fax
- (865) 584-3478
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170921000225 | TN | Practitioner - Diagnostic Radiology | 8820232424 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54462 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leconte Radiology PC | Diagnostic Radiology | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Abercrombie Radiological Consultants Inc | Diagnostic Radiology | Current |
Accepting new patients |
Locations
266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864
1112 E Weisgarber Rd
Knoxville, TN 37909
Phone (865) 588-1397
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1112 E Weisgarber Rd
Ste 102
Knoxville, TN 37909
Phone (865) 588-1397
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 54462 | TN | Yes |
Addresses
Primary practice location
1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647
Mailing address
1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647
Phone (865) 558-9862
Other practice location 1
1 Medical Center Blvd
Winston-Salem, NC 27157
Phone (336) 716-2011
Other practice location 2
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 584-7376
Other practice location 3
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 584-7376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q030855 | Medicaid | TN |
Other providers in Knoxville, TN
- Jacob Michael Bentley
- Mackenzie Tatum Bentley
- Cheryl A Benton-Duncan
- Abigail Elizabeth Benton
- Cassie Benton
- Louis Wilson Benton Jr.
- Alyson Frances Benusches
- David Benway
- Katherine Dinora Berduo-Muniz
- Sara Christine Berelsman
All providers in Knoxville, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.