Individual provider Active NPI

Robert Cornealius Ham Jr., MD

  • Anesthesiology Physician
  • Macon, GA
National Provider Identifier
1235290271
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33098 Issued in GA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(866) 507-5244
Fax
(855) 851-4405
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 033098 GA
Anesthesiology Physician 207L00000X 33098 GA Primary

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577

Other practice location 1

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577

Other practice location 2

888 Pine St
Macon, GA 31201-2109
Phone (478) 633-1000

Other practice location 3

1014 Forsyth St
Macon, GA 31201-2051
Phone (478) 633-5800

Other identifiers 3

IdentifierTypeStateIssuer
000433122QMedicaidGA
000433122RMedicaidGA
P00282149OtherGARAIL ROAD MEDICARE - NEX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040225000814 GA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 5193611291 Reassigns benefits to 7 organizations
I20240129001862 SD Practitioner - Anesthesiology 5193611291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of AthensGroup PAC ID 2567459902, 55 clinicians
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians
American Anesthesiology Associates of Georgia LLCGroup PAC ID 7618934779, 230 clinicians
Guardian Medical Services LLCGroup PAC ID 8325347735, 28 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 543-3449

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (678) 514-1991

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

651 S Milledge Ave
Athens, GA 30605-1250
Phone (706) 543-3449

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-6399

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033098GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Surgical Hospital, LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Jan 1, 2024 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Jul 20, 2023 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Jul 20, 2023 Accepting new patients
Anesthesia Consultants of Athens Anesthesiology CurrentSince Aug 4, 2025 Accepting new patients
Radius Anesthesia of Georgia LLC Anesthesiology CurrentSince Dec 1, 2020 Accepting new patients
Anesthesia Consultants of Savannah, PC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Oct 14, 2021 Accepting new patients
Guardian Medical Services, LLC CurrentSince Oct 1, 2024 Accepting new patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology CurrentSince Nov 9, 2014 Accepting new patients
Central Georgia Pulmonary Associates, LLC PastSince Aug 24, 2013 Accepting new patients
Anesthesia Associates of Macon LLP Anesthesiology Past Accepting new patients
The Hemlock Pain Center, LLC Anesthesiology Past Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437

651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1150 Kirkland Ln
Ste B
Douglas, GA 31533
Phone (912) 384-6630

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

840 Pine St
Ste 700
Macon, GA 31201
Phone (912) 742-8297

840 Pine St
Ste 770
Macon, GA 31201
Phone (478) 633-1190

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

840 Pine St
Ste 780
Macon, GA 31201
Phone (478) 742-8297

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

13040 Abercorn St
Ste 2
Savannah, GA 31419
Phone (912) 920-1998

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGGAA

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1235290271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173838",
            "telephone_number": "478-746-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "866-507-5244",
            "fax_number": "855-851-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312173838",
            "country_code": "US",
            "telephone_number": "478-746-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Pine St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012109",
            "country_code": "US",
            "telephone_number": "478-633-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Forsyth St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012051",
            "country_code": "US",
            "telephone_number": "478-633-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "ROBERT",
        "middle_name": "CORNEALIUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "033098",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "33098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000433122Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000433122R",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE - NEX",
            "identifier": "P00282149",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.