Amy Benjamin
Amy Benjamin is a healthcare organization registered as Rural Health Clinic/Center in Booneville, MS, holding Type 2 (organization) NPI 1770672339 since 2006. The authorized official on file is Marie Tyus, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770672339 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Amy Benjamin |
| Other name | <Unavail> |
| Practice address | 618 CR 5031, Booneville, MS, 38829 |
| Phone | 6623650200 |
| Fax | 6623650199 |
| Enumeration date | 2006-10-12 |
| Last updated in NPPES | 2008-07-28 |
Authorized official
| Name | Marie Tyus |
|---|---|
| Title | Office Manager |
| Phone | 6623650200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner | Secondary | R850588 | MS |
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04071559 | Medicaid | MS | — |
| C03567 | Other | — | CLINIC UPIN |
| 03904817 | Medicaid | MS | — |
| 04071559 | Other | — | MEDICAID GROUP |
Copy-ready billing details
Provider: Amy Benjamin NPI: 1770672339 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 618 CR 5031, Booneville, MS, 38829
Verify this record
Cross-check NPI 1770672339 against the authoritative CMS record: view Amy Benjamin on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-07-28.