DR. RONALD CLINTON JR. ATWATER (M.D.) – Surgery Physician, NPI 1104056951

DR. RONALD CLINTON JR. ATWATER (M.D.) is a healthcare provider. based in Cairo, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 72406 (GA). The NPI Number for DR. RONALD CLINTON JR. ATWATER (M.D.) is 1104056951

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD CLINTON JR. ATWATER (M.D.)
NPI
1104056951
Phone
(229) 377-2002
Address
1178 5TH ST SE
Enumeration Date
14 July 2009
Last Update Date
17 September 2020

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
9315521221
Graduation Year
2009 (17 years ago)
PAC ID
3870712284
Group Practice PAC ID
0547276917
Professional Enrollment ID
I20190905002825

Contacts

Secure Messaging
ronald.atwater.1@1879.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,092 GENERAL SURGERY in GA

Loading map...

Provider Addresses for DR. RONALD CLINTON JR. ATWATER (M.D.)

  • 5th Street Southeast, Cairo, Grady County, Georgia, 39828, United States

    CAIRO, GA 398283141

    Phone: (229) 377-2002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $2,244.

Total Amount is formed as General ($2,244) + Research ($0) + Ownership ($0) = $2,244.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,290).

Total Amount

$2,244

General + Research + Ownership

Payments

53

Total payment records

General Amount

$2,244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140917001905IGeneral SurgeryGATBD
I20190905002825IGeneral SurgeryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5342$0
99204New patient office or other outpatient visit, 45-59 minutes4444$0
99214Established patient office or other outpatient visit, 30-39 minutes3732$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2211$0
View full utilization report →

Insurance plans in this area (ZIP 39828)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547276917View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTN
General SurgeryPA
Physician AssistantTN
Nurse PractitionerTN
Vascular Surgery, General SurgeryTN
Physician AssistantTN
General SurgeryTN
-TN
Nurse PractitionerTN
Internal MedicineTN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. RONALD CLINTON JR. ATWATER (M.D.) using NPI 1104056951?
NPI 1104056951 belongs to DR. RONALD CLINTON JR. ATWATER (M.D.); compare other details if you need extra assurance.
Is DR. RONALD CLINTON JR. ATWATER (M.D.) shown as active in public data?
Registry records indicate DR. RONALD CLINTON JR. ATWATER (M.D.) maintains an active NPI.
What clinical focus is listed for DR. RONALD CLINTON JR. ATWATER (M.D.)?
At a glance, DR. RONALD CLINTON JR. ATWATER (M.D.) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. RONALD CLINTON JR. ATWATER (M.D.)?
Travel planning: use Cairo, Georgia as the reference point for DR. RONALD CLINTON JR. ATWATER (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

950, 4th Street Southeast, Cairo, Grady County, Georgia, 39828, United States
NPI: 1033162003

DR. ERIC M LEHMAN (M.D.)

Surgery Physician
National Highway, Erwin Heights, Thomasville, Davidson County, North Carolina, 27360, United States
NPI: 1689611618
475 HANSELL ST., S.E
NPI: 1316159676
1180 5TH ST SE
NPI: 1346557717

STEPHEN L FLOORE MD PC

General Practice Physician
PO BOX 179
NPI: 1811264237

5AM Surgical

Surgery Physician
475, Hansell Street Southeast, Cairo, Grady County, Georgia, 39828, United States
NPI: 1720631088