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

Benjamin Gregory Crisp, MD

Individual provider Surgery Physician · NPI 1790216505

Benjamin Gregory Crisp, MD is a General Surgery in Raleigh, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2017, 9 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana and North Carolina.

Years since qualifying
9
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
LA, NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4207 Lake Boone Trl Ste 210
Raleigh, NC 27607-6685
Phone: (919) 784-7874
Fax: (919) 784-2708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1430 Tulane Ave # 8622, New Orleans, LA 70112-2632 — (504) 988-2317
  • 1 Akron General Ave, Akron, OH 44307-2432 — (330) 344-6000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2023-02063 (NC)
Surgery Physician Taxonomy 208600000X · Licence 332669 (LA)

Record details

NPI number1790216505
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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