BENJAMIN L MCLEOD (NP) – Family Nurse Practitioner, NPI 1417405176

BENJAMIN L MCLEOD (NP) is a healthcare provider. based in Moultrie, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN218215 (GA). The NPI Number for BENJAMIN L MCLEOD (NP) is 1417405176

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN L MCLEOD (NP)
NPI
1417405176
Phone
(229) 890-5305
Address
PO BOX 2317
Enumeration Date
12 September 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292444720102
Graduation Year
2016 (10 years ago)
PAC ID
0143517961
Group Practice PAC ID
4385601798
Professional Enrollment ID
I20160922001021
Address ID
GA316021898VA410XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for BENJAMIN L MCLEOD (NP)

  • PO BOX 2317

    MOULTRIE, GA 317762317

    Phone: (229) 890-5305

    Fax: (229) 890-5307

    Type: Mailing

  • 31st Avenue South East, Moultrie, Colquitt County, Georgia, 31768, United States

    MOULTRIE, GA 317686771

    Phone: (229) 890-5305

    Fax: (229) 890-5307

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $358.

Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.

Last reported payment date: 2023-10-15 • Largest payer in this snapshot: Medtronic, Inc. ($358).

Total Amount

$358

General + Research + Ownership

Payments

3

Total payment records

General Amount

$358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$358
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160922001021INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report140112$0
99214Established patient office or other outpatient visit, 30-39 minutes10989$0
99213Established patient office or other outpatient visit, 20-29 minutes7671$0
View full utilization report →

Insurance plans in this area (ZIP 31776)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385601798View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineGA
Internal Medicine, Pulmonary DiseaseGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Pulmonary DiseaseGA
Internal MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Where can patients find BENJAMIN L MCLEOD (NP)'s NPI?
You can confirm BENJAMIN L MCLEOD (NP) with NPI 1417405176; it appears in the national provider directory.
Is BENJAMIN L MCLEOD (NP)'s NPI currently valid?
The extract we use shows BENJAMIN L MCLEOD (NP) as active.
Can you summarize BENJAMIN L MCLEOD (NP)'s specialty in plain language?
Clinically, the directory lists BENJAMIN L MCLEOD (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for BENJAMIN L MCLEOD (NP)?
We surface Moultrie, Georgia for BENJAMIN L MCLEOD (NP) based on available NPPES addresses.
What if Moultrie, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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