P Praxis·MD
● Active Type 1 · Individual

DR. Ronald Clinton Atwater JR., M.D.

Surgery·Cairo, GA· NPI 1104056951 · Enumerated 2009 · 16 years on NPI
Atwater is 1 of 3 surgery providers in Cairo and 1 of 1389 in Georgia.
NPI age
16 years
Enumerated 2009-07-14
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
16 years
≈ at median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
1178 5th St Se
Cairo, GA 398283141
📞 2293772002
Mailing address
1178 5th St Se
Cairo, GA 398283141
📞 2293772002

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #72406 taxonomy 208600000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Identifiers

TypeValueNotes
05 (GA) 003148404A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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