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NPI 1205840105
● Active Type 2 · Organization
Statesboro Cardiology, Pc
Internal Medicine · Statesboro, GA · NPI 1205840105
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Enumerated 2006 · 19 years on NPI
Statesboro Cardiology, Pc is 1 of 952 internal medicine organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-28
Primary specialty
Internal Medicine
Practice locations
5
4 secondary on file
Status
Active
No deactivations on record
Authorized official
Shin
Ceo
Last NPPES update
2020-11-09
Source: monthly bulk 2026-05
How this organization compares
Across 952 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
5
4 secondary on file
NPI lifetime · 2006 → 2026
2006-07 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
5 Grady Johnson Rd
Statesboro, GA 304586026
📞 9124896843 fax 9124896346
Mailing address
5 Grady Johnson Rd
Statesboro, GA 304586026
📞 9124896843 fax 9124893125
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
125c Victory Dr
Swainsboro, GA 304013234
📞 9124896246 fax 9124896346
Location 3
400 Cedar St Ste 107
Metter, GA 304393338
📞 9124896246 fax 9124896346
Location 4
131 Memorial Dr
Reidsville, GA 304534641
📞 9124896246 fax 9124896346
Location 5
380 Sconyers St
Metter, GA 304393261
📞 9124896246 fax 9124896346
Authorized official
Stanley J Shin, MD
Ceo
📞 9124896246
Individual providers at this organization
8 individual providers on file at this primary practice address.
Specialties
Internal Medicine
Primary
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
taxonomy 207RC0000X
Identifiers
Type Value Notes
05 (GA)
300033286A
Practice context
Multi-provider organization.
8 individual providers on file at this primary address.
Plus 4 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.