Individual provider Active NPI

Jonathan Benson, FNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1821467267
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-100210 Issued in AL
Practice address
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone
(334) 288-7808
NPI assigned
Sep 16, 2015
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-100210 AL Primary

Addresses

Primary practice location

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Mailing address

33585 Al Highway 22
Verbena, AL 36091-3527
Phone (205) 389-0549

Other practice location 1

440 Taylor Road Suite 3380
Montgomery, AL 36117
Phone (334) 213-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151019002336 AL Practitioner - Nurse Practitioner 6002125853 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic W LLCGroup PAC ID 5496020877, 3 clinicians
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

102 Medical Ctr Dr
Clanton, AL 35045-2332
Phone (205) 287-3900

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 284-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. CurrentSince Mar 8, 2022 Accepting new patients
Paragon Contracting Services LLC CurrentSince Dec 1, 2018 Accepting new patients
American Family Care, LLC CurrentSince Oct 28, 2020 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Mar 8, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2024 Accepting new patients
Clinic W LLC CurrentSince Apr 25, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2024 Accepting new patients
American Family Care, LLC CurrentSince Oct 28, 2020 Accepting new patients

Locations

9149 Highway 119
Alabaster, AL 35007
Phone (659) 242-5456

1902 S College St
Auburn, AL 36832
Phone (334) 758-2020

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1965 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 323-1330

Interoperability endpoints

  • Direct secure messaging: jonathan.benson@direct.baptistfirst.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1821467267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33585 AL HIGHWAY 22",
            "city": "VERBENA",
            "state": "AL",
            "postal_code": "360913527",
            "telephone_number": "205-389-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Taylor Road Suite 3380",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "36117",
            "country_code": "US",
            "telephone_number": "334-213-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-100210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.