1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

BENTON PEDIATRICS
NPI 1093956526
Community Based Residential Treatment Facility, Mental Illness in Gainesville, FL

Active since March 12, 2009CLIA 10D0271843 · Waiver
5612 NW 43RD ST, GAINESVILLE, FL 32653(352) 376-4542(352) 376-4959 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benton Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENTON PEDIATRICS (NPI 1093956526) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gainesville, Florida and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Charles Kent Powers, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1093956526
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBENTON PEDIATRICS
Location Address5612 NW 43RD STGainesville, FL 32653-3332
Mailing Address5612 Nw 43rd StGainesville, FL 32653-3332 · (352) 376-4542 · Fax (352) 376-4959
Phone(352) 376-4542
Fax(352) 376-4959
Organization SubpartNo
Authorized OfficialCharles Kent PowersMd/owner · (352) 376-4542
Enumeration DateMarch 12, 2009
Last NPPES UpdateOctober 17, 2024
✔ NPI 1093956526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X · License ME53353 (FL)
5612 NW 43RD ST, Gainesville, FL 32653
Open in Google Maps ↗

Other Identifiers 1

Medicaid048463600FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0271843

Benton Pediatrics, Inc · Gainesville, FL
Active · expires Jan 10, 2027
CLIA Number10D0271843
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorCharles Powers
Laboratory Phone(352) 376-4542
Laboratory LocationBenton Pediatrics, Inc5612 NW 43rd St, Gainesville, FL 32653
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELIZMA EKSTEEN MERCIER PHYSICIAN ASSISTANT
Physician Assistant (Medical)
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542
ELIZABETH LAURA JUSTICE
Nurse Practitioner (Pediatrics)
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542
DR. CHARLES KENT POWERS III M.D.
Pediatrics
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542
THOMAS BB BENTON MD
Pediatrics
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benton Pediatrics's NPI number?

The NPI number for Benton Pediatrics is 1093956526. It was assigned to this organization in the NPPES registry on March 12, 2009.

Where is Benton Pediatrics located?

Benton Pediatrics is located at 5612 NW 43rd St, Gainesville, FL 32653. The listed phone number is (352) 376-4542.

What is Benton Pediatrics's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Benton Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0271843) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benton Pediatrics was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.