Individual provider Active NPI

Alinda Pauline King-Benjamin

  • Family Nurse Practitioner
  • Blythewood, SC
National Provider Identifier
1902440381
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27511 Issued in SC
Practice address
130 Mountain Maple LN
Blythewood, SC 29016-7233
Phone
(803) 764-4828
Fax
(803) 764-4828
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X 227265 SC
Family Nurse Practitioner 363LF0000X 27511 SC Primary

Addresses

Primary practice location

130 Mountain Maple LN
Blythewood, SC 29016-7233

Mailing address

130 Mountain Maple LN
Blythewood, SC 29016-7233
Phone (803) 764-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230908002129 SC Practitioner - Nurse Practitioner 5597129577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians

Practice addresses (Care Compare)

10136 Two Notch Rd
Suite 104
Columbia, SC 29229-4399
Phone (803) 509-7570

8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227265SCMDPeritoneal Dialysis Registered Nurse
27511SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Jul 28, 2023 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Jul 28, 2023 Accepting new patients
Charleston Carenow Urgent Care, LLC PastSince May 16, 2026 Accepting new patients

Locations

1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
#1201
North Charleston, SC 29420

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209

301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246

1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169

110 Medical Cir
Ste A
West Columbia, SC 29169

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1902440381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MOUNTAIN MAPLE LN",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167233",
            "telephone_number": "803-764-4828",
            "fax_number": "803-764-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MOUNTAIN MAPLE LN",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167233",
            "telephone_number": "803-764-4828",
            "fax_number": "803-764-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-BENJAMIN",
        "first_name": "ALINDA",
        "middle_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "SC",
            "license": "227265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

Verify at the official NPI Registry.