Organization Active NPI

Ron Eaker MD LLC

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Augusta, GA
National Provider Identifier
1992430649
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X
Legal business name
RON EAKER MD LLC
Practice address
2315 Central Ave Ste B
Augusta, GA 30904-6246
Phone
(706) 842-4210
Fax
(706) 842-7557
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Ron Eaker, MD
Title
Physician/Owner
Phone
(706) 825-8186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VB0002X Primary

Addresses

Primary practice location

2315 Central Ave Ste B
Augusta, GA 30904-6246

Mailing address

2315 Central Ave Ste B
Augusta, GA 30904-6246
Phone (706) 842-4210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220908002613 GA Part B Supplier - Clinic/Group Practice 5991189045 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2210194Ron Eaker MD LLC2315 Central Suite B, Augusta, GA 30904Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

2315 Central Ave
Ste B
Augusta, GA 30904
Phone (706) 739-0071

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25720/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1992430649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046246",
            "telephone_number": "706-842-4210",
            "fax_number": "706-842-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046246",
            "telephone_number": "706-842-4210",
            "fax_number": "706-842-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON EAKER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "EAKER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "706-825-8186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.