BENTON MEDICAL
NPI 1932585841
Clinic/Center in Benton, LA

Active since August 03, 2015CLIA 19D2104181 · Certificate of Compliance
188 BURT BLVD, BENTON, LA 71006(318) 965-5017(318) 965-5019 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2023, Oct 30, 2020, Oct 13, 2020 (3 updates tracked since 2020).

About Benton Medical NPPES

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

BENTON MEDICAL (NPI 1932585841) is a healthcare organization registered as a clinic/center in Benton, Louisiana and active in the NPI registry since August 2015. The organization holds a CLIA Certificate of Compliance certificate valid through November 19, 2026 and lists Dakota James Robinson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1932585841
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBENTON MEDICAL
Location Address188 BURT BLVDBenton, LA 71006-4900
Mailing Address188 Burt BlvdBenton, LA 71006-4900 · (318) 375-4004
Fax(318) 965-5019
Organization SubpartYesParent: North Caddo Hospital Service District
Authorized OfficialDakota James RobinsonCfo · (318) 375-4097
Enumeration DateAugust 3, 2015
Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1932585841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
188 BURT BLVD, Benton, LA 71006

Other Identifiers 1

Medicaid2508784LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benton Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Benton Medical, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Emergency Medicine3
Family Practice3

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1801653936
188 BURT BLVD
Benton, LA 71006
(318) 965-5017
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366730558
188 BURT BLVD
Benton, LA 71006
(318) 965-5017
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780815985
5948 N MARKET ST
Shreveport, LA 71107
(318) 375-0001
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1003808569
1500 LINE AVENUE STE 200
Shreveport, LA 71101
(318) 629-5555
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1033841036
103 HIGHWAY 1 S
Oil City, LA 71061
(318) 995-6504
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1407588627
112 N FORREST RD
Plain Dealing, LA 71064
(318) 326-7272
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1750592440
112 N FORREST RD
Plain Dealing, LA 71064
(318) 326-7272
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1831566777
5668 BARKSDALE BLVD
Bossier City, LA 71112
(318) 735-1800
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1023493160
5668 BARKSDALE BLVD
Bossier City, LA 71112
(318) 735-1800
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1003083205
1003 S SPRUCE ST NCMC MEDICAL AND SURGICAL CLINIC
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1801824651
815 S PINE ST
Vivian, LA 71082
(318) 375-3235
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1447882162
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1720205586
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1487282125
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1619110152
815 S PINE ST
Vivian, LA 71082
(318) 375-3235
✔ PECOS✔ Accepts Medicare20 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D2104181

Benton Medical · Benton, LA
Active · expires Nov 19, 2026
CLIA Number19D2104181
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorCharles G. Guest
Laboratory Phone(318) 965-5017
Laboratory LocationBenton Medical188 Burt Boulevard, Benton, LA 71006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Benton Medical's NPI number?

The NPI number for Benton Medical is 1932585841. It was assigned to this organization in the NPPES registry on August 3, 2015.

Where is Benton Medical located?

Benton Medical is located at 188 Burt Blvd, Benton, LA 71006. The listed phone number is (318) 965-5017.

What is Benton Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Benton Medical enrolled in Medicare?

Yes. Benton Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Benton Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Benton Medical. A 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 the clinician's services. The largest specialties are Nurse Practitioner (9), Emergency Medicine (3) and Family Practice (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Benton Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D2104181) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Benton Medical accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Benton Medical 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 Benton Medical was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.