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

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
General Surgery
Also: Vascular 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 (9 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Amedisys Home Health Home health agency · Waycross, GA · CCN 117076
  • Bacon County Hospital Hospital · Alma, GA · CCN 111327

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

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 IDStateProvider typePAC IDDetails
I20041202000042 NC Practitioner - General Surgery 0446235212 Reassigns benefits to 2 organizations
I20201229000761 GA Practitioner - General Surgery
Practitioner - Vascular Surgery
0446235212 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01318NCMDInternal Medicine Physician
9501318NCMDSurgery Physician
MD12751SCMDVascular Surgery Physician

Practice roles

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C2338OtherNCMEDCOST
5768353OtherNCCIGNA
52429OtherNCBCBS NC
8952429MedicaidNC

Other providers in Fort Mill, SC

All providers in Fort Mill, SC · Surgery Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.