Statesboro Cardiology, PC
NPI 1205840105 · Cardiovascular Disease Physician · Statesboro, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Statesboro Cardiology, PC is a Cardiovascular Disease Physician organization in Statesboro, GA (NPI 1205840105).
Provider details
- NPI number
- 1205840105
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanley Shin, Ceo(912) 489-6246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 380 Sconyers StMetter, GA 30439-3261Phone: (912) 489-6246Fax: (912) 489-6346
- 400 Cedar St Ste 107Metter, GA 30439-3338Phone: (912) 489-6246Fax: (912) 489-6346
- 131 Memorial DrReidsville, GA 30453-4641Phone: (912) 489-6246Fax: (912) 489-6346
- 125c Victory DrSwainsboro, GA 30401-3234Phone: (912) 489-6246Fax: (912) 489-6346
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Frequently asked questions
- What is Statesboro Cardiology, PC's NPI number?
- Statesboro Cardiology, PC's National Provider Identifier (NPI) is 1205840105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Statesboro Cardiology, PC?
- Statesboro Cardiology, PC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Statesboro Cardiology, PC located?
- Statesboro Cardiology, PC's practice location on file with NPPES is 5 Grady Johnson Rd, Statesboro, GA 30458-6026.
- What is Statesboro Cardiology, PC's phone number?
- The practice phone number listed in the NPPES registry for Statesboro Cardiology, PC is (912) 489-6843.
- Does Statesboro Cardiology, PC accept Medicare?
- Statesboro Cardiology, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Statesboro Cardiology, PC?
- The authorized official listed on Statesboro Cardiology, PC's NPPES record is Stanley Shin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Statesboro Cardiology, PC's NPI active?
- Yes — Statesboro Cardiology, PC's NPI (1205840105) is active in the NPPES registry as of the last update on 2020-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.