Active NPI
Ronald Newton Locke, MD
- Surgery Physician
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 85922
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2338 | Other | NC | MEDCOST |
| 5768353 | Other | NC | CIGNA |
| 8952429 | Medicaid | NC | |
| 52429 | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General 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
| 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
|---|---|---|---|
| One Source Vascular | Current | Accepting new patients | |
| South Georgia Physicians Group, LLC | Surgery | Current | Accepting new patients |
| Bacon County Health Services, Inc. | Current | Accepting new patients | |
| DHP of North Carolina PC | Surgery | Current | Accepting new patients |
| Williamston Clinic Corp | Surgery | Current | Accepting new patients |
| One Source Vascular | Surgery | Past | Accepting new patients |
| Summit Plastic and Hand Surgery PA | Past | 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
- https://fhir4.healow.com/fhir/r4/BFHDCD/Endpoint/BFHDCD
- ronald.locke@bacon.gadirect.net
- 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.
-
- Critical Access Hospital
- Alma, GA
- NPI 1629185285
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1780949032
-
- Medical Specialty Clinic/Center
- Waycross, GA
- NPI 1275123671
-
- Vascular Surgery Physician
- Decatur, GA
- NPI 1487133278
-
- Vascular Surgery Physician
- Decatur, GA
- NPI 1912301003
-
- Plastic and Reconstructive Surgery Physician
- Fort Mill, SC
- NPI 1447205844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Alma, GA
- NPI 1629185285
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.