DR. RALPH AUSTIN JR. MD
NPI 1093758294
Family Medicine in Macon, GA

Q: What is Ralph Austin's NPI number?

The NPI number for Ralph Austin is 1093758294. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Ralph Austin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ralph Austin was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2006PECOS Enrolled

5398 THOMASTON RD, MACON, GA 31220(478) 743-8316(478) 743-1824 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2024, Dec 22, 2016, Dec 29, 2015 (3 updates tracked since 2015).

On this page

About Dr. Ralph Austin Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RALPH AUSTIN JR. MD (NPI 1093758294) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (021140) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093758294

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RALPH AUSTIN JR.Credential: MD

Location Address5398 THOMASTON RDMacon, GA 31220-8110

Mailing Address644 Tallulah TrlWarner Robins, GA 31088-7625 · (478) 333-2100 · Fax (478) 333-5201

Phone(478) 743-8316

Fax(478) 743-1824

Sole ProprietorYes

Enumeration DateJune 14, 2006

Last NPPES UpdateApril 29, 20253 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1093758294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 021140

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5398 THOMASTON RD, Macon, GA 31220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ralph Austin Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ralph Austin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Horizon Primary Care, LLC

4.4 mi

Internal Medicine

2660 MONTPELIER AVE
Macon, GA 31204

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1770794851 (478) 743-8316

First Choice Primary Care, Inc

5.1 mi

Federally Qualified Health Center (FQHC)

855 ANTHONY RD
Macon, GA 31204

Reassigned Medicare billing, Georgia enrollment
19 clinicians in this Medicare group

NPI 1740666767 (478) 787-4266

Wellness Track 360

74 mi

Case Management

50 HURT PLZ SE STE 1650
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment

NPI 1447021456 (478) 456-4280

Southeast Medical Group, P.C.

90 mi

Family Medicine

3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022

Reassigned Medicare billing, Georgia enrollment
240 clinicians in this Medicare group

NPI 1235296054 (770) 442-1911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.15 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$21.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER DAWN MCCULLOUGH M.D.

Psychiatry & Neurology (Psychiatry)

5398 THOMASTON RD
MACON, GA 31220

Bibb County (478) 476-8868

MRS. ROBIN ROHN WITT RD, LD

Dietitian, Registered

5398 THOMASTON RD, SUITE B
MACON, GA 31220

Bibb County (478) 476-8868

PETER EDWARD ALLOTEY MD

Internal Medicine

5398 THOMASTON RD
MACON, GA 31220

Bibb County (478) 743-8316

DR. STACEY SMOOT OWEN PH.D.

Psychologist (Clinical)

5398 THOMASTON RD, SUITE B
MACON, GA 31220

Bibb County (478) 476-8868

MRS. CRYSTAL UNDERWOOD WALKER RDN, LD

Dietitian, Registered

5398 THOMASTON RD
MACON, GA 31220

Bibb County (478) 476-8868

MAUREEN GREEN NP

Nurse Practitioner

5398 THOMASTON RD
MACON, GA 31220

Bibb County (770) 442-1911

KATRINA MICHELLE JORDAN NP

Nurse Practitioner (Gerontology)

5398 THOMASTON RD
MACON, GA 31220

Bibb County (478) 743-8316

MS. KAREN REYNOLDS M.D.

Family Medicine

5398 THOMASTON RD
MACON, GA 31220

Bibb County (478) 743-8316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralph Austin's NPI number?

The NPI number for Ralph Austin is 1093758294. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Ralph Austin located?

Ralph Austin practices at 5398 Thomaston Rd, Macon, GA 31220. The listed phone number is (478) 743-8316.

What is Ralph Austin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ralph Austin enrolled in Medicare?

Yes. Ralph Austin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ralph Austin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralph Austin reassigns Medicare benefits to 4 organizations: New Horizon Primary Care, LLC (Macon, GA), First Choice Primary Care, Inc (Macon, GA), Wellness Track 360 (Atlanta, GA) and Southeast Medical Group, P.C. (Alpharetta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ralph Austin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ralph Austin accept?

Health plans from Oscar Insurance Company list Ralph Austin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ralph Austin was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.