MR. BENJAMIN DURHAM PA-C
NPI 1003006115
Physician Assistant - Surgical in Thomaston, GA
About Mr. Benjamin Durham Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BENJAMIN DURHAM PA-C (NPI 1003006115) is an individual surgical provider in Thomaston, Georgia, licensed in Georgia (5084) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Benjamin Durham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 27
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upson Regional Medical Center
Acute Care Hospitals · Thomaston, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAPiedmont Columbus Regional Northside
Acute Care Hospitals · Columbus, GAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOMASTON, GA 30286
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Durham's NPI number?
The NPI number for Benjamin Durham is 1003006115. It was assigned to this individual provider in the NPPES registry on July 26, 2007.
Where is Benjamin Durham located?
Benjamin Durham practices at 522 N Center St, Thomaston, GA 30286. The listed phone number is (706) 646-4371.
What is Benjamin Durham's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Benjamin Durham enrolled in Medicare?
Yes. Benjamin Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Benjamin Durham accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Benjamin Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Durham affiliated with any hospitals?
According to CMS data, Benjamin Durham is affiliated with Upson Regional Medical Center, Northside Hospital and Piedmont Columbus Regional Northside.
When was this NPI record last updated?
The NPPES record for Benjamin Durham was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.