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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. BENJAMIN MATTHEW PHELPS MD
NPI 1437902889
General Practice in Jacksonville, FL

Active since April 08, 2024PECOS Enrolled
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214(904) 542-4677 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Aug 8, 2025, Jun 14, 2024 and 1 more (4 updates tracked since 2024).

About Dr. Benjamin Matthew Phelps Md NPPES

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

DR. BENJAMIN MATTHEW PHELPS MD (NPI 1437902889) is an individual general practice provider in Jacksonville, Florida, licensed in Virginia (0101287188) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437902889
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BENJAMIN MATTHEW PHELPSCredential: MD
Location Address2080 CHILD ST DEPT 5000Jacksonville, FL 32214-5000
Mailing Address2080 Child St Dept 5000Jacksonville, FL 32214-5000 · (904) 542-7300
Phone(904) 542-4677
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateJuly 20, 20264 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1437902889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101287188
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 40472 (FL)
2080 CHILD ST DEPT 5000, Jacksonville, FL 32214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Matthew Phelps Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MICHELLE ALICIA COY DNP
Nurse Anesthetist, Certified Registered
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
VAHIDEH YOUSEFI DE60505442
Dentist (General Practice)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 546-7130
ISABELLA A FREGOSO RPH, PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
BRADLEY RANDALL WINTERS
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
JAKE MICHAEL ROUSE DO
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 610-5253
ESTHER ALAKIJA DO
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICHOLAS NATHAN SWEET D.O.
Radiology (Diagnostic Radiology)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7744
AARON B. SUMNER MD, JD, LT USN MC
General Practice
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300

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 Benjamin Phelps's NPI number?

The NPI number for Benjamin Phelps is 1437902889. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Benjamin Phelps located?

Benjamin Phelps practices at 2080 Child St Dept 5000, Jacksonville, FL 32214. The listed phone number is (904) 542-4677.

What is Benjamin Phelps's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Benjamin Phelps enrolled in Medicare?

Yes. Benjamin Phelps is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Phelps was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.