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SOUTH GEORGIA UROLOGY CLINIC, P.C.
NPI 1104038058
Urology in Albany, GA

Active since May 04, 2007
803 N JACKSON ST, ALBANY, GA 31701(229) 435-0832(229) 435-2857 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Georgia Urology Clinic, P.c. NPPES

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

SOUTH GEORGIA UROLOGY CLINIC, P.C. (NPI 1104038058) is a healthcare organization registered as an urology in Albany, Georgia and active in the NPI registry since May 2007. The organization lists Rex O Ajayi, Physician, as its authorized official.

NPPES Registry Identity

NPI1104038058
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTH GEORGIA UROLOGY CLINIC, P.C.
Location Address803 N JACKSON STAlbany, GA 31701
Mailing AddressP.o. Box 72108Albany, GA 31708 · (229) 435-0832 · Fax (229) 435-2857
Phone(229) 435-0832
Fax(229) 435-2857
Organization SubpartNo
Authorized OfficialRex O AjayiPhysician · (229) 435-0832
Enumeration DateMay 4, 2007
Last NPPES UpdateDecember 20, 2007
✔ NPI 1104038058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
803 N JACKSON ST, Albany, GA 31701
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Other Identifiers 3

Medicaid00279518AGA
OtherDG1080GA · Railroad Medicare
Medicare PINGRP3903GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

RODNEY KENNETH SIAU FNP-C
Nurse Practitioner (Family)
803 N JACKSON ST
ALBANY, GA 31701
Dougherty County (229) 435-0832
DR. REX O AJAYI M.D.
Urology
803 N JACKSON ST
ALBANY, GA 31701
Dougherty County (229) 435-0832

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 South Georgia Urology Clinic, P.C.'s NPI number?

The NPI number for South Georgia Urology Clinic, P.C. is 1104038058. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is South Georgia Urology Clinic, P.C. located?

South Georgia Urology Clinic, P.C. is located at 803 N Jackson St, Albany, GA 31701. The listed phone number is (229) 435-0832.

What is South Georgia Urology Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for South Georgia Urology Clinic, P.C. was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.