EAST GEORGIA RADIOLOGY LLC – NPI #1003973207
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

EAST GEORGIA RADIOLOGY LLC is a radiologist located in STATESBORO, GA. NPPES has assigned the NPI number 1003973207 to EAST GEORGIA RADIOLOGY LLC on January 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST GEORGIA RADIOLOGY LLC below.

NPI Profile for
EAST GEORGIA RADIOLOGY LLC

NPI Number
1003973207
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST GEORGIA RADIOLOGY LLC
Primary location
1499 FAIR RD
STATESBORO, GA 30458-1683
Phone: (912) 486-1339 Fax: (912) 871-2424
Mailing address
PO BOX 1368
STATESBORO, GA 30459
Phone: (912) 486-1339 Fax: (912) 871-2424
Organization Subpart
No
Authorized Official
KHOA NGUYEN
SENIOR PARTNER
Phone: (912) 486-1339
Updated
Certification Date
Apr 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EAST GEORGIA RADIOLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPI DR GEORGE PIROS1548254436
otherNPI DR NGUYEN1821082421
otherRAILROAD MEDICAREDF4636
medicaidGA972144316B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.