Benjamin L McLeod, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN218215 Issued in GA

Practice address

115 31St Ave SE
Moultrie, GA 31768-6771

Phone

(229) 890-5305

Fax

(229) 890-5307

NPI assigned

Sep 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Georgia Medical Associates, PCGroup PAC ID 4385601798, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SGMC Health Hospital, Valdosta, GA, CCN 110122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmcleod@sgm.directbygreenway.com

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.

• South Georgia Medical Associates, PC

  • Internal Medicine Physician
  • Valdosta, GA
  • NPI 1760427959
  Medicare reassignment Care Compare group NPD
• John D. Archbold Memorial Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Thomasville, GA
  • NPI 1184673030
  NPD (past)

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

• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417405176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2317",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762317",
            "telephone_number": "229-890-5305",
            "fax_number": "229-890-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 31ST AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686771",
            "telephone_number": "229-890-5305",
            "fax_number": "229-890-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003180779B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale McGregor, D.O.
• Montavious T McKenzie
• McKinney Therapy LLC
• Maresa McKinney, LPC
• Meagan Elise McKinnon, PA-C
• Christopher Neil Medders, NP
• Medical Diagnostics Inc.
• Medical Specialty Associates, Inc.
• Carol Asfoura Medina, MD
• Linnea Ane Mehls, MD

• Family Nurse Practitioner in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.