Ronald David Anderson, D.O.
Individual provider Active NPI Gastroenterology Physician · Fort Eisenhower, GA
NPI 1780905588 · NPPES record last updated May 24, 2024
Key facts
- NPI
- 1780905588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 02003971A (IN)
- Practice address
- 300 E. Hospital Road
Fort Eisenhower, GA 30905 - Phone
- (706) 787-1088
- NPI assigned
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Regional Medical Center of the Pee Dee Inc
Practice addresses (Care Compare)
401 E Cheves St
Suite 301
Florence, SC 29506-2615
Phone (843) 777-7166
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 30 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- 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 |
|---|---|---|---|---|
| I20241011003229 | SC | Practitioner - Gastroenterology | 2668608555 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FA3089225 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| McLeod Physician Associates II | Internal Medicine | Current |
Accepting new patients |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current |
Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
506 E Cheves St
#202
Florence, SC 29506
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
401 E Cheves St
Ste 301
Florence, SC 29506
Phone (843) 777-7166
Interoperability endpoints
- randerson93343@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Internal Medicine Physician | 207R00000X | FA3089225 | IN | |
| Gastroenterology Physician | 207RG0100X | 02003971A | IN | Yes |
Addresses
Primary practice location
300 E. Hospital Road
Fort Eisenhower, GA 30905
Mailing address
300 E. Hospital Road
Fort Eisenhower, GA 30905
Other providers in Fort Eisenhower, GA
- Troy Wayne Akers
- Michael John Allen
- AMC Eisenhower
- Tyler Anderegg
- John J. Anderson
- Andrea Apple
- Philip A Aubrey
- Caleb Aultman
- Jesica Baker
- Ascharya Balaji
All providers in Fort Eisenhower, GA · Gastroenterology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2024. 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.