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DR. BENJAMIN DOWNS III LCSW
NPI 1114117728
Social Worker - Clinical in Jonesboro, GA

Active since July 30, 2007PECOS Enrolled
9361 FIELDSTONE CT, JONESBORO, GA 30236(770) 478-1188(770) 478-7777 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Benjamin Downs Iii Lcsw NPPES

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

DR. BENJAMIN DOWNS III LCSW (NPI 1114117728) is an individual clinical provider in Jonesboro, Georgia, licensed in Georgia (CSW003448) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114117728
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. BENJAMIN DOWNS IIICredential: LCSW
Location Address9361 FIELDSTONE CTJonesboro, GA 30236-6192
Mailing Address9361 Fieldstone CtJonesboro, GA 30236-6192 · (770) 478-1188 · Fax (770) 478-7777
Phone(770) 478-1188
Fax(770) 478-7777
Sole ProprietorNo
Enumeration DateJuly 30, 2007
✔ NPI 1114117728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW003448
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9361 FIELDSTONE CT, Jonesboro, GA 30236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Downs Iii Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Downs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Soc Integrated Services, LLC
19 mi
Community/Behavioral Health
130 WYNFIELD WAY SW
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1245890987 (678) 517-5440

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 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
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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

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

EQUILIBRIUM, LLC
Community/Behavioral Health
9361 FIELDSTONE CT
JONESBORO, GA 30236
Clayton County (678) 755-1743

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 Downs's NPI number?

The NPI number for Benjamin Downs is 1114117728. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Benjamin Downs located?

Benjamin Downs practices at 9361 Fieldstone Ct, Jonesboro, GA 30236. The listed phone number is (770) 478-1188.

What is Benjamin Downs's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Benjamin Downs enrolled in Medicare?

Yes. Benjamin Downs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Downs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Downs reassigns Medicare benefits to Soc Integrated Services, LLC (Atlanta, 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 Downs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Downs accept?

Health plans from Oscar Health list Benjamin Downs 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 Downs was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.