Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Georgia Nephrology, PC

Organization Nephrology Physician · NPI 1215128186

East Georgia Nephrology, PC provides Nephrology Physician services in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 Georgia Ave Ste B
Statesboro, GA 30458-5585 Not confirmed with CMS for 10 years — call before visiting
Phone: (912) 871-2200
Fax: (912) 871-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 034372 (GA)

Record details

NPI number1215128186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Jackson — Owner · (912) 871-2200
NPI enumeratedAugust 6, 2007
Last updated in NPPESNovember 6, 2015
Mailing address450 Georgia Ave, Suite B, Statesboro, GA 30458-5585

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