DR. EUGENE ELLIOT BENJAMIN (M.D.) – Neurology Physician, NPI 1619938867
Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
609 NEUROLOGY in TN
Provider Addresses for DR. EUGENE ELLIOT BENJAMIN (M.D.)
410 N State Of Franklin Rd Ste 135
Johnson City, TN 376046972
Phone: (423) 431-2350
Fax: (423) 431-2372
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Type: Mailing
100 E Carroll St
Salisbury, MD 218015422
Phone: (410) 543-7536
Type: Location
510 Butler Ave
Martinsburg, WV 254019990
Phone: (304) 263-0811
Type: Location
1910 Jake Alexander Blvd W Ste 102
Salisbury, NC 281471163
Phone: (704) 637-1779
Fax: (704) 637-1121
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-3628
Fax: (423) 230-8502
Type: Location
1 MEDICAL PARK BLVD
BRISTOL, TN 376207430
Phone: (423) 844-1121
Fax: (423) 230-8502
Type: Location
PO BOX 60447
CHARLOTTE, NC 282600447
Phone: (704) 637-1779
Fax: (704) 637-1121
Type: Mailing
1910 JAKE ALEXANDER BLVD W STE 102
SALISBURY, NC 281471163
Phone: (704) 637-1779
Fax: (704) 637-1121
Type: Location
Peninsula Regional Medical Center, 100, East Carroll Street, Salisbury, Wicomico County, Maryland, 21801, United States
SALISBURY, MD 218015422
Phone: (410) 543-7536
Type: Mailing
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: 2025-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20161114000324 | I | Neurology | MD | TBD |
| I20170418002623 | I | Neurology | ND | TBD |
| I20251230003757 | I | Hospitalist | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | ND | |
| A N E S T H E S I O L O G Y | IN | |
| - | ND | |
| H O S P I T A L I S T | ND | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| N E P H R O L O G Y | KY | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | RI | |
| - | NY | |
| - | ND | |
| Internal Medicine, Hospitalist | NC |
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