Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Powell IV, PA-C

Individual provider Physician Assistant · NPI 1134668403

Benjamin Powell IV, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2016, 10 years ago. Practices with Southlight Healthcare, a 16-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2101 Garner Rd
Raleigh, NC 27610-0114
Phone: (919) 787-6131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07104 (NC)

Record details

NPI number1134668403
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2017
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southlight Healthcare — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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