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Dr. Jenna C Benge

Dermatology in Jackson, MS. Individual provider (NPI-1).

NPI number1942555438
StatusActive
Last updated in NPPESAug 12, 2026

Details

NPI
1942555438
Entity type
Individual (NPI-1)
Name
Dr. Jenna C Benge
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2012
Certification date
Aug 12, 2026
Last updated
Aug 12, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyT-5583MSYes

Practice location

2500 N State St
Jackson, MS 39216-4500

Phone 601-984-5012

Mailing address

2500 N State St
Jackson, MS 39216-4500

Phone 601-984-5012

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.

Other Dermatology Physician providers in Jackson, MS

All 27 Dermatology Physician providers in Jackson · All 8,702 providers in Jackson

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