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THAD D LONG MD
NPI 1427050368
Radiology - Diagnostic Radiology in Statesboro, GA

Active since August 11, 2005
1601 FAIR RD, SUITE 1100, STATESBORO, GA 30458(678) 469-0007(321) 206-0834 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thad D Long Md NPPES

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

THAD D LONG MD (NPI 1427050368) is an individual diagnostic radiology provider in Statesboro, Georgia, licensed in Georgia (020769) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1427050368
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHAD D LONGCredential: MD
Location Address1601 FAIR RD, SUITE 1100Statesboro, GA 30458-1698
Mailing Address1601 Fair Rd, Suite 1100Statesboro, GA 30458-1698 · (678) 469-0007 · Fax (321) 206-0834
Phone(678) 469-0007
Fax(321) 206-0834
Sole ProprietorYes
Enumeration DateAugust 11, 2005
Last NPPES UpdateAugust 20, 2012
✔ NPI 1427050368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 020769
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1601 FAIR RD, Statesboro, GA 30458
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified30BDLBMGA
Medicaid00237157HGA

Other Providers at the Same Location NPPES 20

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

COTTON RIDGE PHYSICAL THERAPY LLC
Physical Therapist
1601 FAIR RD, SUITE 100
STATESBORO, GA 30458
Bulloch County (912) 681-7907
LAURIE MICHELLE COLYER PT
Physical Therapist
1601 FAIR RD, SUITE 100
STATESBORO, GA 30458
Bulloch County (912) 681-7860
EAST GEORGIA ORTHOPEDIC CENTER, PC.
Specialist
1601 FAIR RD, SUITE 300
STATESBORO, GA 30458
Bulloch County (912) 871-2563
JOHN EDWARD KIMES PT
Physical Therapist
1601 FAIR RD, SUITE 100
STATESBORO, GA 30458
Bulloch County (912) 681-7907
CHRISTY N BYCZKOSKI FNP
Nurse Practitioner (Family)
1601 FAIR RD, SUITE 400
STATESBORO, GA 30458
Bulloch County (912) 871-8900
MEDICAL DIAGNOSTICS OF STATESBORO LLC
Clinic/Center (Radiology)
1601 FAIR RD, SUITE 1100
STATESBORO, GA 30458
Bulloch County (912) 681-2848
EAST GEORGIA CANCER CENTER
Internal Medicine (Hematology & Oncology)
1601 FAIR RD, #900
STATESBORO, GA 30458
Bulloch County (912) 871-8000
ANDREW V CICHELLI MD INC
Internal Medicine (Pulmonary Disease)
1601 FAIR RD, SUITE 600
STATESBORO, GA 30458
Bulloch County (912) 681-4911

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 Thad Long's NPI number?

The NPI number for Thad Long is 1427050368. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Thad Long located?

Thad Long practices at 1601 Fair Rd Suite 1100, Statesboro, GA 30458. The listed phone number is (678) 469-0007.

What is Thad Long's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Thad Long was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.