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DR. JERRY D BENITONE M.D.
NPI 1629073119
Specialist in Memphis, TN

Active since June 20, 2005
2144 MONROE AVE, MEMPHIS, TN 38104(901) 274-9046(901) 272-7360 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry D Benitone M.d. NPPES

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

DR. JERRY D BENITONE M.D. (NPI 1629073119) is an individual specialist in Memphis, Tennessee, licensed in Tennessee (MD0000006809) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1629073119
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JERRY D BENITONECredential: M.D.
Location Address2144 MONROE AVEMemphis, TN 38104-4229
Mailing Address2144 Monroe AveMemphis, TN 38104-4229 · (901) 274-9046 · Fax (901) 272-7360
Phone(901) 274-9046
Fax(901) 272-7360
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1629073119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD0000006809
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2144 MONROE AVE, Memphis, TN 38104
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Other Names 1

Other Name (5)Dr. J D Benitone M.d.

Other Identifiers 4

Medicare ID-Type Unspecified3191624TN · Medicare Provider #
Medicaid3191624TN
Medicare UPINB04476TN
Medicaid00010364MS

Other Providers at the Same Location NPPES

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

J D BENITONE MD FACS PC
Clinic/Center
2144 MONROE AVE
MEMPHIS, TN 38104
Shelby County (901) 274-9046

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 Jerry Benitone's NPI number?

The NPI number for Jerry Benitone is 1629073119. It was assigned to this individual provider in the NPPES registry on June 20, 2005. The provider is also known as Dr. J D Benitone M.D..

Where is Jerry Benitone located?

Jerry Benitone practices at 2144 Monroe Ave, Memphis, TN 38104. The listed phone number is (901) 274-9046.

What is Jerry Benitone's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerry Benitone was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.