CRYSTAL TABOR BENTON (APRN) – Nurse Practitioner, NPI 1265071534
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for CRYSTAL TABOR BENTON (APRN)
2040 DAN PROCTOR DR STE 240
SAINT MARYS, GA 315583801
Phone: (912) 576-6340
Type: Mailing
120 SPYGLASS
KINGSLAND, GA 315486773
Phone: (912) 674-2801
Type: Mailing
655 W 8TH ST FL 2
JACKSONVILLE, FL 322096511
Phone: (904) 383-1010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200221002123 | I | Nurse Practitioner | FL | TBD |
| I20250423002664 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 56 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 46 | $0 |
Insurance plans in this area (ZIP 31558)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| - | GA | |
| - | GA |
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