SOUTH GEORGIA UROLOGY CLINIC, P.C. – NPI #1104038058
Urology

A 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 congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

SOUTH GEORGIA UROLOGY CLINIC, P.C. is an urologist located in ALBANY, GA. NPPES has assigned the NPI number 1104038058 to SOUTH GEORGIA UROLOGY CLINIC, P.C. on May 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 18 years ago on Dec 20, 2007. 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 SOUTH GEORGIA UROLOGY CLINIC, P.C. below.

NPI Profile for
SOUTH GEORGIA UROLOGY CLINIC, P.C.

NPI Number
1104038058
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
SOUTH GEORGIA UROLOGY CLINIC, P.C.
Primary location
803 N JACKSON ST
ALBANY, GA 31701
Phone: (229) 435-0832 Fax: (229) 435-2857
Mailing address
P.O. BOX 72108
ALBANY, GA 31708
Phone: (229) 435-0832 Fax: (229) 435-2857
Organization Subpart
No
Authorized Official
REX AJAYI
PHYSICIAN
Phone: (229) 435-0832
Updated
Identifiers

Identifiers for SOUTH GEORGIA UROLOGY CLINIC, P.C.

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
OTHERRAILROAD MEDICAREGADG1080
MEDICAIDGA00279518A
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.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

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.