RONALD DAVID ANDERSON (D.O.) – Gastroenterology Physician, NPI 1780905588

RONALD DAVID ANDERSON (D.O.) is a healthcare provider. based in Fort eisenhower, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials D.O.. They hold a License No. FA3089225 (IN). The NPI Number for RONALD DAVID ANDERSON (D.O.) is 1780905588

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
RONALD DAVID ANDERSON (D.O.)
NPI
1780905588
Phone
Not provided
Address
300 E. HOSPITAL ROAD
Enumeration Date
15 June 2010
Last Update Date
24 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8437777166
Graduation Year
2010 (16 years ago)
PAC ID
2668608555
Group Practice PAC ID
7416851852
Professional Enrollment ID
I20241011003229
Address ID
SC295062615FL401XXSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

524 GASTROENTEROLOGY in GA

Provider Addresses for RONALD DAVID ANDERSON (D.O.)

  • 300 E. HOSPITAL ROAD

    FORT EISENHOWER, GA 30905

    Phone:

    Type: Mailing

  • 3851 ROGER BROOKE DR # 3600

    FORT SAM HOUSTON, TX 782344501

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20241011003229IGastroenterologySCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30905)

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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: 7416851852View full group profile
NameSpecialtyState
Internal MedicineSC
-SC
-NY
Internal Medicine, GastroenterologyTX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)SC
-SC
Family Practice, Peripheral Vascular DiseasePA
Physician AssistantSC
Emergency MedicineSC
Emergency MedicineNC

Reviews

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Frequently asked questions

How is RONALD DAVID ANDERSON (D.O.) identified in CMS data?
CMS-hosted NPPES data lists RONALD DAVID ANDERSON (D.O.) with NPI 1780905588.
Is RONALD DAVID ANDERSON (D.O.) still practicing?
RONALD DAVID ANDERSON (D.O.) is currently listed as active in the public NPI registry.
What healthcare role does RONALD DAVID ANDERSON (D.O.) hold?
Scheduling teams often label RONALD DAVID ANDERSON (D.O.) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for RONALD DAVID ANDERSON (D.O.)?
RONALD DAVID ANDERSON (D.O.)'s geographic hint is Fort Eisenhower, Georgia in our summary view.
Why does RONALD DAVID ANDERSON (D.O.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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