DR. BENJAMIN F ROY M.D.
NPI 1013021492
Psychiatry & Neurology - Psychiatry in Columbus, GA

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
421 12TH ST, COLUMBUS, GA 31901(706) 494-7796 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Benjamin F Roy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN F ROY M.D. (NPI 1013021492) is an individual psychiatry provider in Columbus, Georgia, licensed in Georgia (48568) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1977).

NPPES Registry Identity

NPI1013021492
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BENJAMIN F ROYCredential: M.D.
Location Address421 12TH STColumbus, GA 31901-2522
Mailing Address6029 Flat Rock Rd, Apt 111Columbus, GA 31907-7539 · (706) 536-5405
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1977
Enumeration DateAugust 19, 2006
Last NPPES UpdateMay 23, 2008
✔ NPI 1013021492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 48568
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
421 12TH ST, Columbus, GA 31901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin F Roy M.d. 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.

PECOS PAC ID5294911103
PECOS Enrollment IDI20160303000294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Community/Behavioral Health
421 12TH ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
236 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
421 12TH ST
COLUMBUS, GA 31901
Counselor (Mental Health)
421 12TH ST
COLUMBUS, GA 31901
Social Worker
421 12TH ST
COLUMBUS, GA 31901
Counselor (Professional)
421 12TH ST
COLUMBUS, GA 31901
Social Worker (Clinical)
421 12TH ST
COLUMBUS, GA 31901
Social Worker
421 12TH ST
COLUMBUS, GA 31901
Social Worker (Clinical)
421 12TH ST
COLUMBUS, GA 31901
Social Worker (Clinical)
421 12TH ST
COLUMBUS, GA 31901

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 Roy's NPI number?

The NPI number for Benjamin Roy is 1013021492. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Benjamin Roy located?

Benjamin Roy practices at 421 12th St, Columbus, GA 31901. The listed phone number is (706) 494-7796.

What is Benjamin Roy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Benjamin Roy enrolled in Medicare?

Yes. Benjamin Roy 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.

Which organization bills Medicare for Benjamin Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Roy reassigns Medicare benefits to Americanwork, LLC (Columbus, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Roy 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 Roy 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.

When was this NPI record last updated?

The NPPES record for Benjamin Roy was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.