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BENJAMIN GOODROE MD
NPI 1508392333
Family Medicine in Greensboro, GA

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
1040 PARK DR, GREENSBORO, GA 30642(706) 534-6640(706) 400-4414 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2021, Aug 24, 2020, May 22, 2019 and 1 more (4 updates tracked since 2017).

About Benjamin Goodroe Md NPPES

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

BENJAMIN GOODROE MD (NPI 1508392333) is an individual family medicine provider in Greensboro, Georgia, licensed in Georgia (85292) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains a secondary practice location in Edgefield.

NPPES Registry Identity

NPI1508392333
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN GOODROECredential: MD
Location Address1040 PARK DRGreensboro, GA 30642-3466
Mailing Address803 S Main StGreensboro, GA 30642-1211 · (706) 453-1201
Phone(706) 534-6640
Fax(706) 400-4414
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateDecember 28, 20214 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1508392333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 85292✔ Licensed in SC · 40938
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1040 PARK DR, Greensboro, GA 30642
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Secondary Practice Location 1

Location 1300 Ridge Medical Plaza RdEdgefield, SC 29824-4525 · Phone (803) 637-3174 · Fax (803) 637-0200

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

Benjamin Goodroe 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 ID941565394
PECOS Enrollment IDI20180606000091, I20200810002742
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

4

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

Oconee Valley Healthcare Inc
Same address
Federally Qualified Health Center (FQHC)
1040 PARK DR
Greensboro, GA 30642
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
NPI 1144771106 (706) 534-6640
Reid Emergency Group, PC
5.1 mi
Emergency Medicine
101 LAKE OCONEE PKWY
Eatonton, GA 31024
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
NPI 1659872497 (706) 485-2711
Madison Emergency Group, PC
15 mi
Emergency Medicine
1740 LIONS CLUB RD
Madison, GA 30650
  • Reassigned Medicare billing, Georgia enrollment
  • 25 clinicians in this Medicare group
NPI 1770193419 (706) 342-1667
Self Regional Healthcare Partners
77 mi
Family Medicine
155 RIDGE MEDICAL PLAZA RD
Edgefield, SC 29824
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1922582105 (South Carolina)
  • 126 clinicians in this Medicare group
NPI 1053929208 (803) 637-3146

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
126 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services54 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
38 services35 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.
34 services24 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
18 services17 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Putnam General Hospital

Critical Access Hospitals · Eatonton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111313
Location101 Lake Oconee ParkwayEatonton, GA 31024 · Putnam County
Emergency services

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Edgefield County Healthcare An Affiliate Of Self R

Critical Access Hospitals · Edgefield, SC
OwnershipGovernment - Local
CMS Certification Number421304
Location300 Ridge Medical PlazaEdgefield, SC 29824 · Edgefield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30642 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers60 claims60 services$20.40 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers60 claims60 services$110.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers40 claims40 services$25.40 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 2

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

OCONEE VALLEY HEALTHCARE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1040 PARK DR
GREENSBORO, GA 30642
Greene County (706) 534-6640
DR. CURTIS DONALDSON THORNHILL M.D.
Anesthesiology (Pain Medicine)
1040 PARK DR
GREENSBORO, GA 30642
Greene County (706) 433-0723

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 Goodroe's NPI number?

The NPI number for Benjamin Goodroe is 1508392333. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Benjamin Goodroe located?

Benjamin Goodroe practices at 1040 Park Dr, Greensboro, GA 30642. The listed phone number is (706) 534-6640.

What is Benjamin Goodroe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Goodroe enrolled in Medicare?

Yes. Benjamin Goodroe 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 organizations bill Medicare for Benjamin Goodroe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Goodroe reassigns Medicare benefits to 4 organizations: Oconee Valley Healthcare Inc (Greensboro, GA), Reid Emergency Group, PC (Eatonton, GA), Madison Emergency Group, PC (Madison, GA) and Self Regional Healthcare Partners (Edgefield, SC). Each 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 Goodroe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Goodroe accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Benjamin Goodroe 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.

Is Benjamin Goodroe affiliated with any hospitals?

According to CMS data, Benjamin Goodroe is affiliated with St Mary's Hospital, Navicent Health Baldwin, Putnam General Hospital, St. Mary's Good Samaritan Hospital and Edgefield County Healthcare An Affiliate Of Self R.

When was this NPI record last updated?

The NPPES record for Benjamin Goodroe was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.