NPIMap

Individual provider Active NPI

Benjamin Paul Williams, MD

  • Internal Medicine Physician
  • Thomaston, GA
National Provider Identifier
1508880352
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031686 Issued in GA
Practice address
202 Cherokee Rd
Thomaston, GA 30286-3402
Phone
(706) 647-3200
Fax
(706) 647-2346
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 031686 GA Primary

Addresses

Primary practice location

202 Cherokee Rd
Thomaston, GA 30286-3402

Mailing address

202 Cherokee Rd
Thomaston, GA 30286-3402
Phone (706) 647-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000232 GA Practitioner - Internal Medicine 0840321535 Reassigns benefits to 4 organizations
Practice locations: Thomaston, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upson Family Physicians, LCGroup PAC ID 3072659242, 9 clinicians
Upson County Hospital IncGroup PAC ID 8729075536, 11 clinicians

Practice addresses (Care Compare)

7171 Hwy 19 S
Zebulon, GA 30295-3598
Phone (770) 872-5020

801 W Gordon St
Thomaston, GA 30286-3426

915 W Gordon St
Suite B
Thomaston, GA 30286-3427
Phone (706) 647-7009

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Amedisys Home Health of Griffin Home health agency, Griffin, GA, CCN 117045
  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Brightmoor Hospice, LLC Hospice, Griffin, GA, CCN 111618
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002
  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
  • Riverside Health and Rehabilitation Nursing home, Thomaston, GA, CCN 115353

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
84.38
Promoting interoperability
100
Improvement activities
40
Cost
72.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upson County Hospital Inc CurrentSince May 14, 2014 Accepting new patients
Hightower Physician Services, PC CurrentSince Apr 1, 2018 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 1, 2013 Accepting new patients
Upson Family Physicians, LC CurrentSince Sep 1, 2016 Accepting new patients
Upson County Hospital Inc CurrentSince May 14, 2014 Accepting new patients
Riverside Nursing Center of Thomaston LLC Past Accepting new patients
Upson Womens Services LLC Past Accepting new patients

Locations

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

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

915 W Gordon St
#B
Thomaston, GA 30286
Phone (706) 647-7009

Interoperability endpoints

  • Direct secure messaging: benjamin.williams@urmc.gadirect.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Upson Regional Medical CenterThomaston, GA, CCN 110002 Hospital Corporate Director Jan 20, 2021
Upson Regional Medical CenterThomaston, GA, CCN 11S002 Hospital Corporate Director Jan 20, 2021
Upson Regional Medical CenterThomaston, GA, CCN 118561 Rural health clinic Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jan 20, 2021
Jan 20, 2021
Jan 20, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1508880352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CHEROKEE RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863402",
            "telephone_number": "706-647-3200",
            "fax_number": "706-647-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHEROKEE RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863402",
            "telephone_number": "706-647-3200",
            "fax_number": "706-647-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "031686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.