Individual provider Active NPI

Benjamin Durham, PA-C

  • Surgical Physician Assistant
  • Thomaston, GA
National Provider Identifier
1003006115
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5084 Issued in GA
Practice address
522 N Center St
Thomaston, GA 30286-3695
Phone
(706) 646-4371
Fax
(706) 646-4372
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005084 GA
Surgical Physician Assistant 363AS0400X PA.749 AL
Surgical Physician Assistant 363AS0400X 5084 GA Primary

Addresses

Primary practice location

522 N Center St
Thomaston, GA 30286-3695

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice location 1

2300 Manchester Expy # A
Suite 101-A
Columbus, GA 31904-6802
Phone (706) 322-2462

Other practice location 2

100 N Macon St
Macon, GA 31210-6563
Phone (478) 200-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080221000313 GA Practitioner - Physician Assistant 9335223908 Reassigns benefits to 2 organizations
I20110427000583 AL Practitioner - Physician Assistant 9335223908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic PC 111 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2129

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

4401 River Chase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3000

522 N Ctr St
Thomaston, GA 30286-3695
Phone (706) 646-4371

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

Hospital & facility affiliations

  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
73.36 of 100Reported as individual
Quality
51.56
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005084GAMDPhysician Assistant
PA.749ALMDSurgical Physician Assistant
5084GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, PC CurrentSince Nov 28, 2010 Accepting new patients
Hughston Clinic, P.C. CurrentSince Nov 28, 2010 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

512 N Shady Ln
Dothan, AL 36303
Phone (334) 669-5747

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2000 10th Ave
Ste 270
Columbus, GA 31901
Phone (706) 571-1011

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

910 N 5th St
Ste F
Cordele, GA 31015
Phone (229) 276-0107

107 Calumet Center Rd
Lagrange, GA 30241
Phone (706) 884-3274

631 Professional Dr
Ste 170
Lawrenceville, GA 30046
Phone (678) 312-2663

117 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 420-1839

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

100 N Macon St
Macon, GA 31210
Phone (478) 200-6970

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

207 31st Ave SE
Moultrie, GA 31768
Phone (229) 217-0088

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

522 N Center St
Thomaston, GA 30286
Phone (706) 646-4371

202 S Madison St
Thomasville, GA 31792
Phone (229) 226-1035

4340 Kings Way
Valdosta, GA 31602
Phone (229) 333-9736

1811 Manning Dr
Vidalia, GA 30474
Phone (912) 535-2554

Interoperability endpoints

  • Direct secure messaging: benjamin.durham.1@321.direct.athenahealth.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/ff6682af-adf1-4342-9fa7-c0fc81a9e5c6

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1003006115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N CENTER ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863695",
            "telephone_number": "706-646-4371",
            "fax_number": "706-646-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Manchester Expy # A",
            "address_2": "Suite 101-A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046802",
            "country_code": "US",
            "telephone_number": "706-322-2462",
            "fax_number": "706-320-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Macon St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312106563",
            "country_code": "US",
            "telephone_number": "478-200-6970",
            "fax_number": "478-200-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005084",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.749",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.