Active NPI
Benton E Hewitt Jr.
- Family Medicine Physician
- Yazoo City, MS
National Provider Identifier
1871803866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10774
- Practice address
- 230 E Broadway St
Yazoo City, MS 39194-4547 - Phone
- (662) 746-3713
- NPI assigned
- Oct 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10774 | MS | Primary |
Addresses
Primary practice location
230 E Broadway St
Yazoo City, MS 39194-4547
Mailing address
80 Shore Dr
Clinton, MS 39056-3546
Phone (601) 924-2392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1871803866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 SHORE DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390563546",
"telephone_number": "601-924-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E BROADWAY ST",
"city": "YAZOO CITY",
"state": "MS",
"postal_code": "391944547",
"telephone_number": "662-746-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "BENTON",
"middle_name": "E",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-08",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "10774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yazoo City, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.