BENJAMIN L MCLEOD NP
NPI 1417405176
Nurse Practitioner - Family in Moultrie, GA

Q: What is Benjamin Mcleod's NPI number?

The NPI number for Benjamin Mcleod is 1417405176. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Q: What is Benjamin Mcleod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Mcleod was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2016PECOS EnrolledAccepts Medicare Assignment

115 31ST AVE SE, MOULTRIE, GA 31768(229) 890-5305(229) 890-5307 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017, Sep 12, 2016 (3 updates tracked since 2016).

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About Benjamin L Mcleod Np NPPES

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

BENJAMIN L MCLEOD NP (NPI 1417405176) is an individual family provider in Moultrie, Georgia, licensed in Georgia (RN218215) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417405176

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBENJAMIN L MCLEODCredential: NP

Location Address115 31ST AVE SEMoultrie, GA 31768-6771

Mailing AddressPo Box 2317Moultrie, GA 31776-2317 · (229) 890-5305 · Fax (229) 890-5307

Phone(229) 890-5305

Fax(229) 890-5307

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 12, 2016

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1417405176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN218215

115 31ST AVE SE, Moultrie, GA 31768

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Other Identifiers 1

Medicaid003180779BGA

Accepted Insurance

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

Benjamin L Mcleod Np 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 ID143517961

PECOS Enrollment IDI20160922001021

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.

Areas of Expertise CMS Part B claims 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

154 services130 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

121 services111 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services62 patients

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110122

Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 8

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

CASEY JO BENNETT

Nurse Practitioner (Obstetrics & Gynecology)