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

Benjamin Keith Winn, PA-C

Individual provider Physician Assistant · NPI 1629736459

Benjamin Keith Winn, PA-C is a Physician Assistant in South West City, Missouri. Graduated from University of Arkansas College of Medicine in 2021, 5 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group and accepts Medicare assignment. Licensed in Arkansas, Missouri and Oklahoma.

Years since qualifying
5
Trained at
University of Arkansas College of Medicine
Licensed in
AR, MO, OK
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

109 N Broadway St
South West City, MO 64863-9417
Phone: (417) 762-3287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2025037891 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 4746 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 1037 (AR)

Record details

NPI number1629736459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare