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

Timothy R Thaller, MD

Individual provider Urology Physician · NPI 1407849706

Timothy R Thaller, MD is an Urology in Statesboro, Georgia. Graduated from Louisiana State University School of Medicine in Shreveport in 1994, 32 years ago. Practices with East Georgia Hma Physician Management LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1497 Fair Rd Ste 102
Statesboro, GA 30458-0823
Phone: (912) 764-9001
Fax: (912) 764-3166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 614 E Grady St, Statesboro, GA 30458-2067 — (912) 764-9001

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 046818 (GA)

Record details

NPI number1407849706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2005
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing addressPo Box 689022, Franklin, TN 37068-9022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1994 (32 years in practice)
Group practice East Georgia Hma Physician Management Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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