BENJAMIN GOODROE (MD) – Family Medicine Physician, NPI 1508392333

BENJAMIN GOODROE (MD) is a healthcare provider. based in Greensboro, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 85292 (GA). The NPI Number for BENJAMIN GOODROE (MD) is 1508392333

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN GOODROE (MD)
NPI
1508392333
Phone
(706) 534-6640
Address
1040 PARK DR
Enumeration Date
11 May 2017
Last Update Date
28 December 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8036373174
Graduation Year
2017 (9 years ago)
PAC ID
0941565394
Group Practice PAC ID
1557606118
Professional Enrollment ID
I20180606000091
Address ID
SC298244525ED300XXRDXX500

Contacts

Secure Messaging
bgoodroe170175@selfregional.direct-ci.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

3,102 FAMILY PRACTICE in GA

Provider Addresses for BENJAMIN GOODROE (MD)

  • 1040 PARK DR

    GREENSBORO, GA 306423466

    Phone: (706) 534-6640

    Fax: (706) 400-4414

    Type: Location

  • 300 Ridge Medical Plaza Rd

    Edgefield, SC 298244525

    Phone: (803) 637-3174

    Fax: (803) 637-0200

    Type: Location

  • 803, South Main Street, Allens Trailer Park, Greensboro, Greene County, Georgia, 30642, United States

    GREENSBORO, GA 306421211

    Phone: (706) 453-1201

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180606000091IFamily PracticeSCTBD
I20200810002742IFamily PracticeGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9339$0
99239Hospital discharge day management, more than 30 minutes5351$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4745$0
81002Urinalysis, manual test3532$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30642)

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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: 1557606118View full group profile
NameSpecialtyState
Family PracticeSC
Family Practice, Emergency MedicineSC
Family PracticeSC
Orthopedic SurgerySC
Family PracticeSC
Family Practice, Hospice/Palliative CareSC
Family PracticeSC
Certified Registered Nurse Anesthetist (Crna)GA
Family PracticeSC
P O D I A T R YNY

Reviews

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Frequently asked questions

Can I cross-check BENJAMIN GOODROE (MD) using NPI 1508392333?
NPI 1508392333 belongs to BENJAMIN GOODROE (MD); compare other details if you need extra assurance.
Is BENJAMIN GOODROE (MD) still an active registrant?
BENJAMIN GOODROE (MD) carries an active NPI according to the public dataset.
How would a patient describe BENJAMIN GOODROE (MD)'s focus?
For BENJAMIN GOODROE (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is BENJAMIN GOODROE (MD) registered?
Use Greensboro, Georgia as the headline location for BENJAMIN GOODROE (MD) here.
When was this NPI issued?
Enumeration for BENJAMIN GOODROE (MD) is noted as May 11, 2017 where the registry provides it.