Individual provider Active NPI

Stephanie Benton Gentry, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1962016717
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4324 Issued in TN
Practice address
317 18TH Ave N Ste 200
Nashville, TN 37203-2253
Phone
(615) 292-3661
Fax
(615) 499-6537
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 4324 TN Primary

Addresses

Primary practice location

317 18TH Ave N Ste 200
Nashville, TN 37203-2253

Mailing address

317 18TH Ave N Ste 200
Nashville, TN 37203-2253
Phone (615) 292-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250423003892 TN Practitioner - Physician Assistant 1254711096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Allied Behavioral Health Solutions, LLCGroup PAC ID 0941720288, 6 clinicians

Practice addresses (Care Compare)

317 18TH Ave N
Suite 200
Nashville, TN 37203-2253
Phone (615) 292-3661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4324TNMDOccupational Therapy Assistant
0110008561VAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: stephanie.gentry@3906.securemail.prognocis.com

Organizations & group practices 1

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1962016717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 18TH AVE N STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032253",
            "telephone_number": "615-292-3661",
            "fax_number": "615-499-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 18TH AVE N STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032253",
            "telephone_number": "615-292-3661",
            "fax_number": "615-499-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "STEPHANIE",
        "middle_name": "BENTON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.