NPI age
20 years
Enumerated 2005-08-23
● Active
Type 1 · Individual
Timothy R Thaller, MD
Thaller is 1 of 5 urology providers in Statesboro and 1 of 563 in Georgia.
Primary specialty
Urology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 563 active urology providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
1497 Fair Rd Ste 102
Statesboro, GA 304580823
Mailing address
Po Box 689022
Franklin, TN 370689022
Additional practice locations
1 secondary location on file with NPPES.
Location 2
614 E Grady St
Statesboro, GA 304582067
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000829507B | |
| 01 (GA) | 340016471 | RR MEDICARE |
| 01 (GA) | 782637 | BCBS |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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