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

Nontawan Benja-Athonsirikul

Individual provider Obstetrics & Gynecology Physician · NPI 1104243476

Nontawan Benja-Athonsirikul is an Obstetrics/Gynecology in Nashville, Tennessee. Qualified in 2014, 12 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Tennessee.

Years since qualifying
12
Licensed in
NY, TN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

330 23rd Ave N Ste 604
Nashville, TN 37203-1534
Phone: (615) 986-6039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-0100
  • 343 E 30th St Lbby Level, New York, NY 10016 — (212) 725-2172

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 68873 (TN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 288951 (NY)

Record details

NPI number1104243476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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