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

Thaddeus H Riley, MD

Individual provider Family Medicine Physician · NPI 1104874031

Thaddeus H Riley, MD is a Family Medicine Physician in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

23702 Hwy 80 E
Statesboro, GA 30458
Phone: (912) 489-4090
Fax: (912) 765-5028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 028637 (GA)

Record details

NPI number1104874031
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJuly 13, 2026
Certification dateOctober 27, 2020
Mailing address23702 Hwy 80 E, Po Box 957, Statesboro, GA 30459

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