CAUDREAN LATISTE AVERY-BENJAMIN MD
NPI 1720144637
Obstetrics & Gynecology in Charlotte, NC

Active since December 28, 2006PECOS Enrolled
1918 RANDOLPH RD, SUITE 300, CHARLOTTE, NC 28207(704) 377-5675(704) 335-8163 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2020, May 31, 2017 (2 updates tracked since 2017).

About Caudrean Latiste Avery-benjamin Md NPPES

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

CAUDREAN LATISTE AVERY-BENJAMIN MD (NPI 1720144637) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (200800028) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720144637
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAUDREAN LATISTE AVERY-BENJAMINCredential: MD
Location Address1918 RANDOLPH RD, SUITE 300Charlotte, NC 28207-1100
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 377-5675 · Fax (704) 335-8163
Fax(704) 335-8163
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1720144637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NC · 200800028✔ Licensed in PA · MD430442
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1918 RANDOLPH RD, Charlotte, NC 28207

Other Names 1

Former Name (1)Caudrean L. Avery Md

Other Identifiers 2

Medicaid5910315NC
Other2008-00028NC · Nc State Medical Board

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caudrean Latiste Avery-benjamin 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Caudrean Avery-benjamin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Gastroenterology
1918 RANDOLPH RD STE 210
Charlotte, NC 28207
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1477092179 (North Carolina)
  • 2,998 clinicians in this Medicare group
Family Medicine
123 PROFESSIONAL PARK DR
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 179 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
1918 RANDOLPH RD, SUITE 670
CHARLOTTE, NC 28207
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Emergency Medicine
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Physician Assistant
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Pharmacy (Clinic Pharmacy)
1918 RANDOLPH RD, SUITE 120
CHARLOTTE, NC 28207
Dermatology
1918 RANDOLPH RD, SUITE 550
CHARLOTTE, NC 28207
Internal Medicine
1918 RANDOLPH RD, SUITE 350
CHARLOTTE, NC 28207

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 Caudrean Avery-benjamin's NPI number?

The NPI number for Caudrean Avery-benjamin is 1720144637. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Caudrean L. Avery MD.

Where is Caudrean Avery-benjamin located?

Caudrean Avery-benjamin practices at 1918 Randolph Rd Suite 300, Charlotte, NC 28207. The listed phone number is (704) 377-5675.

What is Caudrean Avery-benjamin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Caudrean Avery-benjamin enrolled in Medicare?

Yes. Caudrean Avery-benjamin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caudrean Avery-benjamin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caudrean Avery-benjamin reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Charlotte, NC) and Atrium Health North Market Network LLC (Mooresville, NC). Each 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 Caudrean Avery-benjamin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caudrean Avery-benjamin accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Caudrean Avery-benjamin 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 Caudrean Avery-benjamin was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.