EAST GEORGIA RADIOLOGY LLC
NPI 1003973207
Radiology - Diagnostic Radiology in Statesboro, GA
About East Georgia Radiology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST GEORGIA RADIOLOGY LLC (NPI 1003973207) is a healthcare organization registered as a diagnostic radiology in Statesboro, Georgia and active in the NPI registry since January 2007. The organization lists Khoa D Nguyen, Senior Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Georgia Radiology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to East Georgia Radiology LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 52Knoxville, TN 37920
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 East Georgia Radiology LLC's NPI number?
The NPI number for East Georgia Radiology LLC is 1003973207. It was assigned to this organization in the NPPES registry on January 3, 2007.
Where is East Georgia Radiology LLC located?
East Georgia Radiology LLC is located at 1499 Fair Rd, Statesboro, GA 30458. The listed phone number is (912) 486-1339.
What is East Georgia Radiology LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is East Georgia Radiology LLC enrolled in Medicare?
Yes. East Georgia Radiology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Georgia Radiology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 3 Medicare specialties reassign their Medicare billing to East Georgia Radiology LLC. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (50), Interventional Radiology (1) and Nuclear Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for East Georgia Radiology LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# East Georgia Radiology Llc · NPI 1003973207
Diagnostic Radiology organization in Statesboro, Georgia. Organization record, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1003973207 (Entity type: Organization)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Khoa Nguyen, SENIOR PARTNER
## Practice location
- **Address:** 1499 FAIR RD, Statesboro, GA 30458-1683
- **Phone:** (912) 486-1339 · **Fax:** (912) 871-2424
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (50), Interventional Radiology (1), Nuclear Medicine (1); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1003973207/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2025
- **Other identifiers:** Other 1548254436; Other DF4636; Other 1821082421; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1003973207) · Data from the CMS NPPES public registry.