DAMEA B BENTON (NPI# 1114931300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114931300 |
| Entity Type | Individual |
| Full Name | DAMEA B BENTON |
| Credential | MD |
| Practice Address |
101 Medical Park Hattiesburg MS 39401 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6015793000 |
| Practice Fax Number | 6015795240 |
| Mailing Telephone | 6012683735 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13507 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00120423 | 05 | |
| LA | 1595144 | 05 | |
| MS | AMERICAN ADMIN GROUP | 1559116 | 01 |
| Street Address |
101 MEDICAL PARK |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417466079 | Leslie Rollins | Nurse Practitioner | 101 Medical Park, Hattiesburg, MS 39401 | 2017-09-27 |
| 1578095238 | Kristen Nicole Ramey | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401-9042 | 2017-03-31 |
| 1184037038 | Mary Perez | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2014-06-09 |
| 1083964092 | Mariel Hubbard | Nurse Practitioner | 101 Medical Park, Hattiesburg, MS 39401-9042 | 2012-09-17 |
| 1982803862 | William Brent Bowling | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2007-07-12 |
| 1497837801 | Hattiesburg Clinic Pa | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2006-10-19 |
| 1881703445 | Jonathan W Shook | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2006-08-29 |
| 1871601070 | Brenton G Richardson | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2006-08-28 |
| 1376658518 | Gregory W Merritt | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2006-08-20 |
| 1750494472 | Anita S Henderson | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427342849 | Ann K Fairey | Pediatrics | 2400 Mimosa Ln, Hattiesburg, MS 39402-2536 | 2011-06-02 |
| 1467695411 | John Rushing Jackson, Jr. | Pediatrics | 410 6th Ave, Hattiesburg, MS 39401-4290 | 2009-04-07 |
| 1134239940 | Jeffrey C Williams | Pediatrics | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2006-08-30 |
| 1598870917 | Samuel K Love | Pediatrics | 4210 Lincoln Road, Hattiesburg, MS 39402 | 2006-08-19 |
| 1184636847 | Leigh A Haden | Pediatrics | 4210 Lincoln Rd., Hattiesburg, MS 39402 | 2006-08-12 |
| 1588689061 | Lisa M Lancaster | Pediatrics | 5 Medical Blvd, Hattiesburg, MS 39401-7231 | 2006-07-13 |
| 1134174097 | Elizabeth M Felder | Pediatrics | 102 Medical Park, Hattiesburg, MS 39401-8025 | 2006-05-22 |
| 1144285420 | John Wells Gaudet | Pediatrics | 39 Franklin Rd, Ste. 200, Hattiesburg, MS 39402-1588 | 2006-04-19 |
| 1679576458 | Claire C Morgan | Pediatrics | 5003 Hardy St, Hattiesburg, MS 39402-1319 | 2005-05-24 |
| 1578095238 | Kristen Nicole Ramey | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401-9042 | 2017-03-31 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.