KENNETH JAMES BENJAMIN MD
NPI 1245344928
Internal Medicine in Cordele, GA

Q: What is Kenneth Benjamin's NPI number?

The NPI number for Kenneth Benjamin is 1245344928. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Kenneth Benjamin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Benjamin was last updated on December 29, 2023. 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.

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment

902 N 7TH ST, CORDELE, GA 31015(229) 276-3325 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kenneth James Benjamin Md NPPES

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

KENNETH JAMES BENJAMIN MD (NPI 1245344928) is an individual internal medicine provider in Cordele, Georgia, licensed in Georgia (42527) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Crisp Regional Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1990).

NPPES Registry Identity

NPI1245344928

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKENNETH JAMES BENJAMINCredential: MD

Location Address902 N 7TH STCordele, GA 31015-3234

Mailing Address902 N 7th StCordele, GA 31015-3234 · (229) 276-3100 · Fax (229) 271-4654

Phone(229) 276-3325

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1990

Enumeration DateAugust 18, 2006

Last NPPES UpdateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1245344928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 42527

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 042527 (GA)

902 N 7TH ST, Cordele, GA 31015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Kenneth James Benjamin Md 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 ID7315841210

PECOS Enrollment IDI20031121000774

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 Reassignments

Medicare enrollment records show Kenneth Benjamin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crisp Regional Hospital Inc

1.2 mi

General Acute Care Hospital

902 7TH ST NORTH
Cordele, GA 31010

Reassigned Medicare billing, Georgia enrollment
124 clinicians in this Medicare group

NPI 1700851649 (229) 271-9686

Southland Emergency Medical Services, L.L.C

78 mi

Emergency Medicine

100 E MADISON ST
Thomasville, GA 31792

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Southland Emergency Medical Services LLC
68 clinicians in this Medicare group

NPI 1477701472 (229) 236-0831

Southland Bainbridge Hospitalist Group, LLC

86 mi

Hospitalist

1500 E SHOTWELL ST
Bainbridge, GA 39819

Reassigned Medicare billing, Georgia enrollment
145 clinicians in this Medicare group

NPI 1356735336 (229) 236-0831

Southland Consolidated Emergency Services, LLC

159 mi

Emergency Medicine

4 MEDICAL DR
Elberton, GA 30635

Reassigned Medicare billing, Georgia enrollment
137 clinicians in this Medicare group

NPI 1174917124 (706) 283-3151

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 9

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

114 services99 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

111 services91 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

85 services80 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

57 services33 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

39 services36 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110104

Location902 7th Street NorthCordele, GA 31015 · Crisp County

Emergency services Birthing friendly

Archbold Mitchell

Critical Access Hospitals · Camilla, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111331

Location90 E Stephens StreetCamilla, GA 31730 · Mitchell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31015 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier16 claims16 services$25.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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