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EAST GEORGIA NEPHROLOGY, PC
NPI 1215128186
Internal Medicine - Nephrology in Statesboro, GA

Active since August 06, 2007
450 GEORGIA AVE, SUITE B, STATESBORO, GA 30458(912) 871-2200(912) 871-2220 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Georgia Nephrology, Pc NPPES

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

EAST GEORGIA NEPHROLOGY, PC (NPI 1215128186) is a healthcare organization registered as a nephrology in Statesboro, Georgia and active in the NPI registry since August 2007. The organization lists James William Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1215128186
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameEAST GEORGIA NEPHROLOGY, PC
Location Address450 GEORGIA AVE, SUITE BStatesboro, GA 30458-5585
Mailing Address450 Georgia Ave, Suite BStatesboro, GA 30458-5585 · (912) 871-2200 · Fax (912) 871-2220
Phone(912) 871-2200
Fax(912) 871-2220
Organization SubpartNo
Authorized OfficialJames William JacksonOwner · (912) 871-2200
Enumeration DateAugust 6, 2007
Last NPPES UpdateNovember 6, 2015
✔ NPI 1215128186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 034372
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
450 GEORGIA AVE, Statesboro, GA 30458
Open in Google Maps ↗

Other Identifiers 3

OtherDN3298GA · Railroad Medicare
Medicaid300034644AGA
Medicare PINGRP4589GA

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

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 ›

Other Providers at the Same Location NPPES

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

JAMES W JACKSON JR. MD
Internal Medicine (Nephrology)
450 GEORGIA AVE, STE B
STATESBORO, GA 30458
Bulloch County (912) 489-4123

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 Nephrology, PC's NPI number?

The NPI number for East Georgia Nephrology, PC is 1215128186. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is East Georgia Nephrology, PC located?

East Georgia Nephrology, PC is located at 450 Georgia Ave Suite B, Statesboro, GA 30458. The listed phone number is (912) 871-2200.

What is East Georgia Nephrology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does East Georgia Nephrology, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list East Georgia Nephrology, PC 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 East Georgia Nephrology, PC was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.