Ronald Newton Locke, MD
Individual provider Active NPI Surgery Physician · Fort Mill, SC
NPI 1528065406 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1528065406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 85922 (GA)
- Practice address
- 127 Ben Casey Dr Ste 106
Fort Mill, SC 29708-6600 - Phone
- (803) 547-6800
- Fax
- (803) 547-6801
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Emory University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Georgia Physicians Group, LLC
Practice addresses (Care Compare)
1406 Habersham Dr
Waycross, GA 31501-5306
Phone (912) 490-9420
Hospital & facility affiliations
- Amedisys Home Health
- Bacon County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 40 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041202000042 | NC | Practitioner - General Surgery | 0446235212 | Reassigns benefits to 2 organizations |
| I20201229000761 | GA | Practitioner - General Surgery |
0446235212 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01318 | NC | MD | Internal Medicine Physician |
| 9501318 | NC | MD | Surgery Physician |
| MD12751 | SC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of North Carolina PC | Surgery | Current |
Accepting new patients |
| South Georgia Physicians Group, LLC | Surgery | Current |
Accepting new patients |
| Williamston Clinic Corp | Surgery | Current |
Accepting new patients |
| Bacon County Health Services, Inc. | Current |
Accepting new patients | |
| One Source Vascular | Current |
Accepting new patients | |
| One Source Vascular | Surgery | Past |
Accepting new patients |
| Summit Plastic and Hand Surgery PA | Past |
Accepting new patients |
Locations
205 S Wayne St
Alma, GA 31510
Phone (912) 383-9789
302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961
204 E 15th St
Alma, GA 31510
Phone (912) 632-2952
501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471
2003 Alice St
#B
Waycross, GA 31501
Phone (912) 490-9420
1406 Habersham Dr
Waycross, GA 31501
Phone (912) 287-0333
1460 Habersham Dr
Waycross, GA 31501
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
327 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-7800
310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133
104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300
Interoperability endpoints
- ronaldlocke@cscc.allscriptsdirect.net
- ronald.locke@bacon.gadirect.net
- https://fhir4.healow.com/fhir/r4/BFHDCD/Endpoint/BFHDCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9501318 | NC | |
| Vascular Surgery Physician | 2086S0129X | MD12751 | SC | |
| Surgery Physician | 208600000X | 85922 | GA | Yes |
Addresses
Primary practice location
127 Ben Casey Dr Ste 106
Fort Mill, SC 29708-6600
Mailing address
502 N Dixon St
Alma, GA 31510-1931
Phone (828) 781-0803
Other practice location 1
1406 Habersham Dr
Waycross, GA 31501-5306
Phone (912) 287-1130
Other practice location 2
302 S Wayne St
Alma, GA 31510-2922
Phone (912) 632-8961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2338 | Other | NC | MEDCOST |
| 5768353 | Other | NC | CIGNA |
| 52429 | Other | NC | BCBS NC |
| 8952429 | Medicaid | NC |
Other providers in Fort Mill, SC
- Livingsharp, LLC
- LL Care Services LLC
- Mallorie Llanas
- Patricia Lloyd
- Theresa Lobbestael
- Caroline Grace Loeb
- Elizabeth Ryan Loflin
- Deborah A. Long
- Haley Long
- Lynkoln Long
All providers in Fort Mill, SC · Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.