Individual provider Active NPI

Ronald D Patrick, M.D.

  • Surgery Physician
  • McDonough, GA
National Provider Identifier
1679559728
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036427 Issued in GA
Practice address
366 Racetrack Rd
McDonough, GA 30252-1022
Phone
(678) 759-8401
Fax
(678) 759-8403
NPI assigned
Dec 21, 2005
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036427 GA Primary

Addresses

Primary practice location

366 Racetrack Rd
McDonough, GA 30252-1022

Mailing address

366 Racetrack Rd
McDonough, GA 30252-1022
Phone (678) 759-8401

Other identifiers 1

IdentifierTypeStateIssuer
000525819DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, IL, DE, ME5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040602000830 GA Practitioner - General Surgery 0941282149
I20230915001437 TN Practitioner - General Surgery 0941282149 Reassigns benefits to 1 organization
I20230927001871 IL Practitioner - General Surgery 0941282149 Reassigns benefits to 1 organization
I20250829000657 DE Practitioner - General Surgery 0941282149 Reassigns benefits to 2 organizations
I20260226003203 ME Practitioner - General Surgery 0941282149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-4700

724 S New St
Bayhealth General Surgery Dover
Dover, DE 19904-3540
Phone (302) 674-4070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Medical Center, Inc Surgery CurrentSince Sep 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc Surgery Current Accepting new patients
Calais Community Hospital CurrentSince Feb 3, 2026 Accepting new patients
Ut Methodist Physicians LLC Surgery CurrentSince Oct 2, 2023 Accepting new patients
Calais Community Hospital CurrentSince Feb 3, 2026 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Calais Community Hospital CurrentSince Feb 3, 2026 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 13, 2023 Accepting new patients
Ottawa Regional Medical Center Inc. PastSince Sep 13, 2023 Accepting new patients
Shepherd Resources Past Accepting new patients
Modern Podiatry, LLC PastSince Mar 29, 2020 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

724 S New St
Dover, DE 19904
Phone (302) 674-4070

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499

1050 E Norris Dr
Ste 3A
Ottawa, IL 61350
Phone (815) 431-5746

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5668 E State St
Rockford, IL 61108
Phone (815) 229-7580

5668 E State St
Ste 1000
Rockford, IL 61108
Phone (815) 229-7580

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

Interoperability endpoints

  • Direct secure messaging: ronald.patrick@hca5.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1679559728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521022",
            "telephone_number": "678-759-8401",
            "fax_number": "678-759-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521022",
            "telephone_number": "678-759-8401",
            "fax_number": "678-759-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "036427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000525819D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.