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DR. BENJAMIN CLARK DILLARD M.D.
NPI 1639106636
Pediatrics - Pediatric Emergency Medicine in Jackson, MS

Active since June 26, 2006PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-2000 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Benjamin Clark Dillard M.d. NPPES

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

DR. BENJAMIN CLARK DILLARD M.D. (NPI 1639106636) is an individual pediatric emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (15975) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639106636
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. BENJAMIN CLARK DILLARDCredential: M.D.
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2000
Phone(601) 984-2000
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 14, 2012
✔ NPI 1639106636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MS · 15975
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2500 N STATE ST, Jackson, MS 39216
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Other Identifiers 4

Other370000378MS · Medicare Pin 2007
Medicaid00839845MS
Medicare PIN512I370008MS
Medicare PIN302I377243MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Clark Dillard M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Dillard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center
Same address
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Dillard's NPI number?

The NPI number for Benjamin Dillard is 1639106636. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Benjamin Dillard located?

Benjamin Dillard practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-2000.

What is Benjamin Dillard's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Benjamin Dillard enrolled in Medicare?

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

Which organization bills Medicare for Benjamin Dillard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Dillard reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Dillard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Dillard accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Benjamin Dillard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Dillard was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.