South Georgia Urology Group, P. C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTH GEORGIA UROLOGY GROUP, P. C.

Practice address

116 Mimosa Dr
Suite 2
Thomasville, GA 31792-6605

Phone

(229) 228-5500

Fax

(229) 226-5787

NPI assigned

Nov 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenda J. Gurley

Title

Office Manager

Phone

(229) 228-5500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy G Grayson, M.D.

  • Urology Physician
  • Thomasville, GA
  • NPI 1073597753
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1033282231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1679",
            "address_2": "P. O. BOX 1679",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317991679",
            "telephone_number": "229-228-5500",
            "fax_number": "229-226-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MIMOSA DR",
            "address_2": "SUITE 2",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926605",
            "telephone_number": "229-228-5500",
            "fax_number": "229-226-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA UROLOGY GROUP, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-228-5500"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032989A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027790C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Georgia Family Foot Institue PC
• South Georgia Laser Vein Center
• South Georgia Physical Medicine and Rehabilitation
• South Georgia Spine and Joint Center, LLC
• South Georgia Surgical Associates, PC
• South Georgia Vascular Institute
• Southern Care Solutions LLC
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.

• Urology Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.