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Dr. Benjamin Matthew Phelps , MD

General Practice β€’ Jacksonville, FL

Active NPI 1437902889 Individual Practitioner Male Practitioner
Practice location in NPPES

2080 Child St Dept 5000
Jacksonville, FL 322145000

Call 9045424677 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2080 Child St Dept 5000

Jacksonville, FL 322145000

Telephone 9045424677

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Phelps has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Phelps as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

81 active clinicians are listed under General Practice with a practice address in Jacksonville, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

7.4% of these 81 clinicians have the CMS telehealth indicator.

28.4% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-20
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101287188

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

License # reported to NPPES FL 40472

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - FAMILY PRACTICE

Medicare Enrollment ID

I20250923004394

Enrollment State Jurisdiction

VA

PECOS Control ID

0244735066

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Caitlin Hoover , PA-C

Physician Assistant

NPI 1104166370

Physician Assistant (Certified)

Andjie Louis , APRN

Nurse Practitioner - Family

NPI 1184354011

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address June 14, 2024

Registered at 2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 322145000 (Tel: 9045427300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2024

Military Health Care Provider (license number reported to NPPES: FL 40472)

βœ…
NPI Profile Active April 08, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 08, 2024

Registered at 2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 322145000 (Tel: 5715777924)

πŸ“
Business Mailing Address (Initial Record) April 08, 2024

Registered at 2863 GOLDEN POND BLVD, ORANGE PARK, FL 320737665 (Tel: 5715777924)

πŸ‘€
Provider Name / Credentials (Initial Record) April 08, 2024

Recorded as BENJAMIN PHELPS, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 08, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437902889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2024
Last Update: July 20, 2026
Sole Proprietor: No

Other General Practices in Jacksonville

All General Practices in Jacksonville

Mailing Address

2080 Child St Dept 5000

Jacksonville, FL 322145000

Phone: 9045427300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.