P Praxis·MD
● Active Type 2 · Organization

East Georgia Nephrology, Pc

Internal Medicine·Statesboro, GA· NPI 1215128186 · Enumerated 2007 · 18 years on NPI
East Georgia Nephrology, Pc is 1 of 562 internal medicine organizations in Georgia.
NPI age
18 years
Enumerated 2007-08-06
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Owner
Last NPPES update
2015-11-06
Source: monthly bulk 2026-05

How this organization compares

Across 562 active internal medicine providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
450 Georgia Ave, Suite B
Statesboro, GA 304585585
📞 9128712200fax 9128712220
Mailing address
450 Georgia Ave, Suite B
Statesboro, GA 304585585
📞 9128712200fax 9128712220

Authorized official

James William Jackson, MD
Owner
📞 9128712200

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
    GA license #034372 taxonomy 207RN0300X

Identifiers

TypeValueNotes
01 (GA) DN3298 RAILROAD MEDICARE
05 (GA) 300034644A

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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