Active NPI
East Georgia Orthopedic Center, PC.
- Specialist
- Statesboro, GA
National Provider Identifier
1073728937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- EAST GEORGIA ORTHOPEDIC CENTER, PC.
- Practice address
- 1601 Fair Rd
Suite 300
Statesboro, GA 30458-1698 - Phone
- (912) 871-2563
- NPI assigned
- May 14, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Diane C Johnson
- Title
- Practice Manager
- Phone
- (912) 871-6742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | GA | Primary |
Addresses
Primary practice location
1601 Fair Rd
Suite 300
Statesboro, GA 30458-1698
Mailing address
1601 Fair Rd
Suite 300
Statesboro, GA 30458-1698
Phone (912) 871-2563
National Provider Directory
National Provider DirectoryLocations
1601 Fair Rd
Ste 300
Statesboro, GA 30458
Phone (912) 871-2563
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1942321427
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1477554509
-
- Orthopaedic Surgery Physician
- Delray Beach, FL
- NPI 1609841287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073728937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 FAIR RD",
"address_2": "SUITE 300",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581698",
"telephone_number": "912-871-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 FAIR RD",
"address_2": "SUITE 300",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581698",
"telephone_number": "912-871-2563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST GEORGIA ORTHOPEDIC CENTER, PC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "912-871-6742",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- East Georgia Healthcare Center, Inc. (Statesboro Pediatrics and Family Healthcare Center)
- East Georgia Hma Physician Management, LLC
- East Georgia Medical Assoc. P C
- East Georgia Nephrology, PC
- East Georgia Oral & Maxillofacial Surgery Center
- East Georgia Pediatrics
- East Georgia Radiology LLC
- East Georgia Regional Medical Center, LLC
- East Georgia Regional Medical Center, LLC (Statesboro Imaging Center)
- East Georgia Regional Medical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.