OrganizationActive
East Georgia Urologic Clinic, PC
NPI 1801078381 · Urology Physician · Statesboro, GA
East Georgia Urologic Clinic, PC is a Urology Physician organization in Statesboro, GA (NPI 1801078381).
Provider details
- NPI number
- 1801078381
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Thaller, President(912) 764-9001
- License
- 046818 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
614 E Grady St
Statesboro, GA 30458-2067
Phone: (912) 764-9001
Fax: (912) 764-3166
Street-level locationGet directions
Mailing address
614 East Grady Street
Statesboro, GA 30458
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2008-01-03
Frequently asked questions
- What is East Georgia Urologic Clinic, PC's NPI number?
- East Georgia Urologic Clinic, PC's National Provider Identifier (NPI) is 1801078381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Georgia Urologic Clinic, PC?
- East Georgia Urologic Clinic, PC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is East Georgia Urologic Clinic, PC located?
- East Georgia Urologic Clinic, PC's practice location on file with NPPES is 614 E Grady St, Statesboro, GA 30458-2067.
- What is East Georgia Urologic Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for East Georgia Urologic Clinic, PC is (912) 764-9001.
- Who is the authorized official for East Georgia Urologic Clinic, PC?
- The authorized official listed on East Georgia Urologic Clinic, PC's NPPES record is Timothy Thaller, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Georgia Urologic Clinic, PC's NPI active?
- Yes — East Georgia Urologic Clinic, PC's NPI (1801078381) is active in the NPPES registry as of the last update on 2008-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.