Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beni Johnston

Individual provider Registered Nurse · NPI 1164123956

Beni Johnston is a Nurse Practitioner in Mobile, Alabama. Qualified in 2018, 8 years ago. Practices with Imc-Hospitalists LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
8
Licensed in
AL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2732 Shanandoah Ct E
Mobile, AL 36695-2541
Phone: (251) 689-7282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2019012238 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-143674 (AL)

Record details

NPI number1164123956
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address2732 Shanandoah Ct E, Mobile, AL 36695-2541

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Imc-Hospitalists Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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