BEN HILL FAMILY MEDICINE
NPI 1184492878
Clinic/Center - Primary Care in Fitzgerald, GA
About Ben Hill Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEN HILL FAMILY MEDICINE (NPI 1184492878) is a healthcare organization registered as a primary care in Fitzgerald, Georgia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Beverly Denise Graham, Nurse Practitioner/incorporator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ben Hill Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ben Hill Family Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2305635
Ben Hill Family Medicine · Fitzgerald, GAFrequently 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 Ben Hill Family Medicine's NPI number?
The NPI number for Ben Hill Family Medicine is 1184492878. It was assigned to this organization in the NPPES registry on December 13, 2023.
Where is Ben Hill Family Medicine located?
Ben Hill Family Medicine is located at 708 S Grant St Ste 15, Fitzgerald, GA 31750. The listed phone number is (912) 309-3338.
What is Ben Hill Family Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ben Hill Family Medicine enrolled in Medicare?
Yes. Ben Hill Family Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ben Hill Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ben Hill Family Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ben Hill Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2305635) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ben Hill Family Medicine was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ben Hill Family Medicine · NPI 1184492878
Primary Care organization in Fitzgerald, Georgia. Organization record, active in the CMS NPPES registry since December 13, 2023.
## Identity
- **NPI:** 1184492878 (Entity type: Organization)
- **Enumerated:** December 13, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Beverly Graham, NURSE PRACTITIONER/INCORPORATOR
## Practice location
- **Address:** 708 S GRANT ST STE 15, Fitzgerald, GA 31750-5707
- **Phone:** (912) 309-3338
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184492878) · Data from the CMS NPPES public registry.