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

Miss. Canisha Monai Benton, PA

Individual provider Physician Assistant · NPI 1114132057

Miss. Canisha Monai Benton, PA is a Physician Assistant in Greenville, South Carolina. Qualified in 2020, 6 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
6
Licensed in
NY, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1210 W Faris Rd
Greenville, SC 29605-4444
Phone: (864) 522-1800
Fax: (864) 522-1806
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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 3764 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 011827 (NY)

Record details

NPI number1114132057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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