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

Benjamin Manuel Enciso, DO

Individual provider Surgery Physician · NPI 1932692597

Benjamin Manuel Enciso, DO is a General Surgery in Augusta, Georgia. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2018, 8 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
8
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
GA, NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

818 Saint Sebastian Way Ste 200
Augusta, GA 30901-2652
Phone: (706) 774-8940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-1813
  • 2630 E 7th St, Charlotte, NC 28204-4318 — (704) 355-9484
  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-8816
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255
  • 1090 Vinehaven Dr Ne, Concord, NC 28025-2438 — (704) 403-7580

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 101924 (GA)
Surgery Physician Taxonomy 208600000X · Licence 2023-01649 (NC)

Record details

NPI number1932692597
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address818 Saint Sebastian Way Ste 200, Augusta, GA 30901-2652

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2018 (8 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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