Individual provider Active NPI

Robert Moore Benson Jr., MD

  • Family Medicine Physician
  • Statesboro, GA
National Provider Identifier
1013921428
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
034776 Issued in GA
Practice address
4451 Country Club Rd
Suite 3a
Statesboro, GA 30458-9188
Phone
(912) 764-2273
Fax
(912) 489-4762
NPI assigned
Jul 28, 2006
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 034776 GA Primary

Addresses

Primary practice location

4451 Country Club Rd
Suite 3a
Statesboro, GA 30458-9188

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other identifiers 1

IdentifierTypeStateIssuer
300031230AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.benson.1@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000997 GA Practitioner - Family Practice 7810950821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Suite 102
Statesboro, GA 30458-0823
Phone (912) 486-1676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034776GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Hma Physician Management, LLC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

1497 Fair Rd
Ste 102
Statesboro, GA 30458
Phone (912) 486-1626

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

4451 Country Club Rd
Ste 3A
Statesboro, GA 30458
Phone (912) 764-2273

Interoperability endpoints

  • Direct secure messaging: robert.benson.1@8824.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1013921428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 COUNTRY CLUB RD",
            "address_2": "SUITE 3A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589188",
            "telephone_number": "912-764-2273",
            "fax_number": "912-489-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ROBERT",
        "middle_name": "MOORE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031230A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.benson.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "4451 Country Club Rd",
            "address_2": "SUITE 3A",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304589188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.