STATESBORO FAMILY PRACTICE CLINIC
NPI 1043384183
Family Medicine in Statesboro, GA

NPI Status: Active since November 20, 2006

Contact Information

412 NORTHSIDE DR E
SUITE 200
STATESBORO, GA
ZIP 30458
Phone: (912) 764-9684
Fax: (912) 489-8676

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  • Organization
  • Family Medicine

About STATESBORO FAMILY PRACTICE CLINIC

This page provides the complete NPI Profile along with additional information for Statesboro Family Practice Clinic, a primary care provider established in Statesboro, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1043384183 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 18745 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Statesboro Family Practice Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Statesboro Family Practice Clinic. The authorized official of this NPI record is Ms. Teri S Daigneault Cpc (Medical Coder)

NPI
1043384183
Provider Legal Name
SMITH & PURVIS FAMILY PRACTICE CLINIC, PC
Other Organization Name
STATESBORO FAMILY PRACTICE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
412 NORTHSIDE DR E SUITE 200 STATESBORO, GA 30458
Location Phone
(912) 764-9684
Location Fax
(912) 489-8676
Mailing Address
412 NORTHSIDE DR E SUITE 200 STATESBORO, GA 30458
Mailing Phone
(912) 764-9684
Mailing Fax
(912) 489-8676
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Statesboro Family Practice Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
18745
License State
GA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

029847 (GA)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

048703 (GA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TERI S DAIGNEAULT CPC

Authorized Official Title
MEDICAL CODER
Authorized Official Phone
(912) 764-1039

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043384183, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 6 + 8 + 8 + 1 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1043384183.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Urology
412 NORTHSIDE DR E, #500
STATESBORO, GA 30458
Nurse Practitioner (Adult Health)
412 NORTHSIDE DR E
STATESBORO, GA 30458
Dentist
412 NORTHSIDE DR E
STATESBORO, GA 30458
Urology
412 NORTHSIDE DR E, SUITE 500
STATESBORO, GA 30458
Dentist (General Practice)
412 NORTHSIDE DR E
STATESBORO, GA 30458
Dentist
412 NORTHSIDE DR E
STATESBORO, GA 30458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043384183, enumerated as an "organization" on November 20, 2006.

The provider is located at 412 NORTHSIDE DR E SUITE 200 STATESBORO, GA 30458 and the phone number is (912) 764-9684.

Family Medicine with taxonomy code 207Q00000X.