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STATESBORO UROLOGIC CLINIC, PC
NPI 1285662866
Urology in Statesboro, GA

Active since June 30, 2006
412 NORTHSIDE DR E, SUITE 500, STATESBORO, GA 30458(912) 764-6808(912) 764-2436 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Statesboro Urologic Clinic, Pc NPPES

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

STATESBORO UROLOGIC CLINIC, PC (NPI 1285662866) is a healthcare organization registered as an urology in Statesboro, Georgia and active in the NPI registry since June 2006. The organization lists Paul J Tilson, President, as its authorized official.

NPPES Registry Identity

NPI1285662866
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSTATESBORO UROLOGIC CLINIC, PC
Location Address412 NORTHSIDE DR E, SUITE 500Statesboro, GA 30458-4802
Mailing Address412 Northside Dr E, Suite 500Statesboro, GA 30458-4802 · (912) 764-6808 · Fax (912) 764-2436
Phone(912) 764-6808
Fax(912) 764-2436
Organization SubpartNo
Authorized OfficialPaul J TilsonPresident · (912) 764-6808
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285662866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in GA · 020839✔ Licensed in GA · 046818
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.
412 NORTHSIDE DR E, Statesboro, GA 30458
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

SMITH & PURVIS FAMILY PRACTICE CLINIC, PC
Family Medicine
412 NORTHSIDE DR E, SUITE 200
STATESBORO, GA 30458
Bulloch County (912) 764-9684
DR. CHARLES JORDAN DMD
Dentist
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 225-0777
MRS. CHERYL JEAN ARD ANP-BC
Nurse Practitioner (Adult Health)
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 764-9684
JEBEDIAH S CHRISTY DDS - STATESBORO PLLC
Dentist (General Practice)
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 225-0777
PAUL J TILSON MD
Urology
412 NORTHSIDE DR E, #500
STATESBORO, GA 30458
Bulloch County (912) 764-6808
SUBUHI SIDDIQUI DDS
Dentist
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 225-0777

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 Statesboro Urologic Clinic, PC's NPI number?

The NPI number for Statesboro Urologic Clinic, PC is 1285662866. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Statesboro Urologic Clinic, PC located?

Statesboro Urologic Clinic, PC is located at 412 Northside Dr E Suite 500, Statesboro, GA 30458. The listed phone number is (912) 764-6808.

What is Statesboro Urologic Clinic, PC'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 Statesboro Urologic Clinic, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.