Benjamin R Anderson, PA-C
Physician Assistant in Clayton, NC. Individual provider (NPI-1).
NPI number1386291102
StatusActive
Last updated in NPPESAug 26, 2019
Details
- NPI
- 1386291102
- Entity type
- Individual (NPI-1)
- Name
- Benjamin R Anderson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2019
- Last updated
- Aug 26, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 001009348 | NC | Yes |
Practice location
2138 Nc 42Clayton, NC 27520
Phone 919-585-8000
Mailing address
7618 Almaden WayCary, NC 27518-9276
Phone 919-368-0113
Other practice locations
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Smithfield, NC 27577-4407
Phone 919-934-8171
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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