STATESBORO URGENT CARE
NPI 1013535657
Clinic/Center - Urgent Care in Statesboro, GA
About Statesboro Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATESBORO URGENT CARE (NPI 1013535657) is a healthcare organization registered as an urgent care in Statesboro, Georgia and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Sreevalli Dega, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2193606
Statesboro Urgent Care · Statesboro, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Statesboro Medical Group, LLC's NPI number?
The NPI number for Statesboro Medical Group, LLC is 1013535657. It was assigned to this organization in the NPPES registry on July 9, 2020. The provider is doing business as Statesboro Urgent Care.
Where is Statesboro Medical Group, LLC located?
Statesboro Medical Group, LLC is located at 1176 Brampton Ave, Statesboro, GA 30458. The listed phone number is (912) 259-9474.
What is Statesboro Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Statesboro Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2193606) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Statesboro Medical Group, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Statesboro Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Statesboro Medical Group, LLC was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Statesboro Urgent Care · NPI 1013535657
Urgent Care organization in Statesboro, Georgia. Organization record, active in the CMS NPPES registry since July 9, 2020.
## Identity
- **NPI:** 1013535657 (Entity type: Organization)
- **Enumerated:** July 9, 2020
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Statesboro Medical Group, Llc
- **Organization subpart:** No
- **Authorized official:** Sreevalli Dega, OWNER
## Practice location
- **Address:** 1176 BRAMPTON AVE, Statesboro, GA 30458-0847
- **Phone:** (912) 259-9474
## Record status
- **NPPES last updated:** September 11, 2020
- **Other identifiers:** Other 1023247731 (GA); Other 1023247723 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013535657) · Data from the CMS NPPES public registry.