NPIMap

Organization Active NPI

Benson Area Medical Center, Inc.

  • Rural Health Clinic/Center
  • Benson, NC
National Provider Identifier
1831130798
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BENSON AREA MEDICAL CENTER, INC.
Practice address
3333 NC Highway 242 N
Benson, NC 27504-7844
Phone
(919) 894-2011
Fax
(919) 894-7645
NPI assigned
Jun 9, 2006
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Ms. Dixie C Nunnery
Title
Financial Operations Manager
Phone
(919) 894-2011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NC
Rural Health Clinic/Center 261QR1300X NC Primary

Addresses

Primary practice location

3333 NC Highway 242 N
Benson, NC 27504-7844

Mailing address

PO Box 399
3333 NC Highway 242 N
Benson, NC 27504-0399
Phone (919) 894-2011

Other identifiers 2

IdentifierTypeStateIssuer
0110EOtherNCBLUE CROSS BLUE SHIELD
343931MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031205000453 NC Part B Supplier - Clinic/Group Practice 7618872284 Receives reassigned benefits from 15 practitioners
Practice locations: Benson, NC
O20101005001237 NC Part A Provider - Rural Health Clinic 7618872284 Practice locations: Benson, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831130798. Details of each certification follow.

Rural health clinic certification: CCN 343931

Legal name
BENSON AREA MEDICAL CENTER, INC.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 20, 1993
Last certification
Nov 10, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Mar 22, 1977 in NC
Enrollment address
3333 NC Highway 242 N
Benson, NC 27504-7844

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anne Braswell Individual Corporate DirectorBoard Chair Jan 23, 2023
Millard Moody Individual Corporate OfficerCeo Jul 22, 2024
Dixie Nunnery Individual W-2 Managing EmployeeFinancial Operations Manager Aug 26, 2010

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1831130798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "address_2": "3333 NC HIGHWAY 242 N",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275040399",
            "telephone_number": "919-894-2011",
            "fax_number": "919-894-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NC HIGHWAY 242 N",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047844",
            "telephone_number": "919-894-2011",
            "fax_number": "919-894-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON AREA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "NUNNERY",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FINANCIAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "919-894-2011",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0110E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343931",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.