DR. BENJAMIN CLARK DILLARD M.D.
NPI 1639106636
Pediatrics - Pediatric Emergency Medicine in Jackson, MS
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
Specialties & Licenses
Other Identifiers 4
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 Clark Dillard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JACKSON, MS 39216
JACKSON, MS 39216
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.
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.
# Dr. Benjamin Clark Dillard, M.D. · NPI 1639106636
Pediatric Emergency Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 26, 2006.
## Identity
- **NPI:** 1639106636 (Entity type: Individual)
- **Enumerated:** June 26, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 15975 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 14, 2012
- **Other identifiers:** Other 370000378 (MS); Medicaid 00839845 (MS); Medicare PIN 512I370008 (MS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1639106636) · Data from the CMS NPPES public registry.