NPI age
19 years
Enumerated 2006-06-30
● Active Type 2 · Organization
Statesboro Urologic Clinic, Pc
Statesboro Urologic Clinic, Pc is 1 of 563 urology organizations in Georgia.
Primary specialty
Urology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tilson
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 563 active urology providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
412 Northside Dr E, Suite 500
Statesboro, GA 304584802
Mailing address
412 Northside Dr E, Suite 500
Statesboro, GA 304584802
Authorized official
Paul J Tilson, MD
President
📞 9127646808
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Cheryl Ard, ANP-BC Nurse Practitioner NPI 1780938647
- Charles Jordan, DMD Dentist NPI 1518516392
- Subuhi Siddiqui, DDS Dentist NPI 1932081072
- Paul Tilson, MD Urology NPI 1922091214
Specialties
-
Urology PrimaryA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.