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

Active since November 20, 2006
412 NORTHSIDE DR E, SUITE 200, STATESBORO, GA 30458(912) 764-9684(912) 489-8676 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Statesboro Family Practice Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATESBORO FAMILY PRACTICE CLINIC (NPI 1043384183) is a healthcare organization registered as a family medicine in Statesboro, Georgia and active in the NPI registry since November 2006. The organization lists Teri S Daigneault, Medical Coder, as its authorized official.

NPPES Registry Identity

NPI1043384183
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSMITH & PURVIS FAMILY PRACTICE CLINIC, PC
Location Address412 NORTHSIDE DR E, SUITE 200Statesboro, GA 30458-4802
Mailing Address412 Northside Dr E, Suite 200Statesboro, GA 30458-4802 · (912) 764-9684 · Fax (912) 489-8676
Phone(912) 764-9684
Fax(912) 489-8676
Organization SubpartNo
Authorized OfficialTeri S DaigneaultMedical Coder · (912) 764-1039
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043384183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 18745✔ Licensed in GA · 029847✔ Licensed in GA · 048703
Definition
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.
412 NORTHSIDE DR E, Statesboro, GA 30458
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Other Names 1

Doing Business AsStatesboro Family Practice Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATESBORO UROLOGIC CLINIC, PC
Urology
412 NORTHSIDE DR E, SUITE 500
STATESBORO, GA 30458
Bulloch County (912) 764-6808
DR. CHARLES JORDAN DMD
Dentist
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 225-0777
MRS. CHERYL JEAN ARD ANP-BC
Nurse Practitioner (Adult Health)
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 764-9684
JEBEDIAH S CHRISTY DDS - STATESBORO PLLC
Dentist (General Practice)
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 225-0777
PAUL J TILSON MD
Urology
412 NORTHSIDE DR E, #500
STATESBORO, GA 30458
Bulloch County (912) 764-6808
SUBUHI SIDDIQUI DDS
Dentist
412 NORTHSIDE DR E
STATESBORO, GA 30458
Bulloch County (912) 225-0777

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 Smith & Purvis Family Practice Clinic, PC's NPI number?

The NPI number for Smith & Purvis Family Practice Clinic, PC is 1043384183. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Statesboro Family Practice Clinic.

Where is Smith & Purvis Family Practice Clinic, PC located?

Smith & Purvis Family Practice Clinic, PC is located at 412 Northside Dr E Suite 200, Statesboro, GA 30458. The listed phone number is (912) 764-9684.

What is Smith & Purvis Family Practice Clinic, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Smith & Purvis Family Practice Clinic, PC was last updated on August 22, 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.