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 is a Nephrology Physician 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
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

Other providers in Statesboro