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

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: August 16, 2026.

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

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Ralph Austin accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 15 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.