Individual provider Active NPI

Ronald Newton Locke, MD

  • Surgery Physician
  • Fort Mill, SC
National Provider Identifier
1528065406
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
85922 Issued in 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
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9501318 NC
Surgery Physician 208600000X 85922 GA Primary
Vascular Surgery Physician 2086S0129X MD12751 SC

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 4

IdentifierTypeStateIssuer
C2338OtherNCMEDCOST
5768353OtherNCCIGNA
8952429MedicaidNC
52429OtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 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
I20041202000042 NC Practitioner - General Surgery 0446235212 Reassigns benefits to 2 organizations
I20201229000761 GA Practitioner - General SurgeryPractitioner - Vascular Surgery 0446235212 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Emory University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1406 Habersham Dr
Waycross, GA 31501-5306
Phone (912) 490-9420

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)40
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01318NCMDInternal Medicine Physician
9501318NCMDSurgery Physician
MD12751SCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Source Vascular CurrentSince Apr 1, 2021 Accepting new patients
South Georgia Physicians Group, LLC Surgery CurrentSince Feb 1, 2020 Accepting new patients
Bacon County Health Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Nov 1, 2018 Accepting new patients
Williamston Clinic Corp Surgery CurrentSince Jan 15, 2019 Accepting new patients
One Source Vascular Surgery PastSince May 11, 2025 Accepting new patients
Summit Plastic and Hand Surgery PA PastSince Aug 1, 2018 Accepting new patients

Locations

204 E 15th St
Alma, GA 31510
Phone (912) 632-2952

205 S Wayne St
Alma, GA 31510
Phone (912) 383-9789

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

1406 Habersham Dr
Waycross, GA 31501
Phone (912) 287-0333

1460 Habersham Dr
Waycross, GA 31501

2003 Alice St
#B
Waycross, GA 31501
Phone (912) 490-9420

501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

327 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-7800

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHDCD/Endpoint/BFHDCD
  • Direct secure messaging: ronald.locke@bacon.gadirect.net
  • Direct secure messaging: ronaldlocke@cscc.allscriptsdirect.net

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1528065406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N DIXON ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315101931",
            "telephone_number": "828-781-0803",
            "fax_number": "912-632-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BEN CASEY DR STE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086600",
            "telephone_number": "803-547-6800",
            "fax_number": "803-547-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Habersham Dr",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015306",
            "country_code": "US",
            "telephone_number": "912-287-1130",
            "fax_number": "912-287-9114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 S Wayne St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "GA",
            "postal_code": "315102922",
            "country_code": "US",
            "telephone_number": "912-632-8961",
            "fax_number": "912-632-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "RONALD",
        "middle_name": "NEWTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9501318",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "85922",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "MD12751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C2338",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5768353",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952429",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "52429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.