Individual provider Active NPI

Thomas W Schoborg, M.D.

  • Urology Physician
  • Marietta, GA
National Provider Identifier
1386630358
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
016834 Issued in GA
Practice address
2411 Saint Croix Cir
Marietta, GA 30062-6528
Phone
(404) 556-5082
Fax
(770) 993-9058
NPI assigned
Sep 23, 2005
Reactivated
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 016834 GA Primary
Specialist 174400000X 016834 GA

Addresses

Primary practice location

2411 Saint Croix Cir
Marietta, GA 30062-6528

Mailing address

2411 Saint Croix Cir
Marietta, GA 30062-6528
Phone (404) 556-5082

Other identifiers 1

IdentifierTypeStateIssuer
000193729AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120104000128 GA Practitioner - Urology 4789850306 Reassigns benefits to 2 organizations
I20250522002279 IA Practitioner - Urology 4789850306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince May 23, 2024 Accepting new patients
Spencer Municipal Hospital Single Specialty Current Accepting new patients
Tift Regional Health System Inc CurrentSince May 23, 2024 Accepting new patients
Spencer Municipal Hospital CurrentSince Apr 24, 2025 Accepting new patients
Tift Regional Health System Inc Single Specialty Current Accepting new patients
Spencer Municipal Hospital CurrentSince Apr 24, 2025 Accepting new patients
Atlanta Urological Group, P.C. Specialist CurrentSince Jul 1, 1966 Accepting new patients
Spencer Municipal Hospital Single Specialty Current Accepting new patients
Northwest Iowa Dermatology LLC Single Specialty Past Accepting new patients

Locations

285 Boulevard NE
Ste 510
Atlanta, GA 30312
Phone (404) 524-5082

285 Boulevard NE
Ste 215
Atlanta, GA 30312
Phone (404) 524-5082

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

1200 1st Ave E
Ste 1
Spencer, IA 51301
Phone (712) 264-6160

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1386630358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 SAINT CROIX CIR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626528",
            "telephone_number": "404-556-5082",
            "fax_number": "770-993-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 SAINT CROIX CIR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626528",
            "telephone_number": "404-556-5082",
            "fax_number": "770-993-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOBORG",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "016834",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "016834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000193729A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.