EAST GEORGIA HEALTHCARE CENTER, INC.
NPI 1063373264
Clinic/Center - Federally Qualified Health Center (FQHC) in Statesboro, GA

Active since November 19, 2025CLIA Certified · 6 labs
150 LANGSTON CHAPEL RD, STATESBORO, GA 30458(478) 494-9926(478) 237-9138 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Georgia Healthcare Center, Inc. NPPES

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

EAST GEORGIA HEALTHCARE CENTER, INC. (NPI 1063373264), doing business as Langston Chapel Schools, is a healthcare organization registered as a federally qualified health center (fqhc) in Statesboro, Georgia and active in the NPI registry since November 2025. The organization holds 6 active CLIA laboratory certificates and lists Jill R Sorrells, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063373264
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST GEORGIA HEALTHCARE CENTER, INC.
Location Address150 LANGSTON CHAPEL RDStatesboro, GA 30458-3412
Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (478) 237-2638 · Fax (478) 237-9138
Fax(478) 237-9138
Organization SubpartNo
Authorized OfficialJill R SorrellsCfo · (478) 237-6262
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1063373264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
150 LANGSTON CHAPEL RD, Statesboro, GA 30458

Other Names 1

Doing Business AsLangston Chapel Schools

CLIA Laboratory Certificates CMS CLIA 7

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 11D2329975

East Georgia Healthcare Center At Langston Chapel · Statesboro, GA
Active · expires Sep 8, 2027
CLIA Number11D2329975
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorSreevalli Dega
Laboratory Phone(478) 494-9926
Laboratory LocationEast Georgia Healthcare Center At Langston Chapel150 Langston Chapel Road, Statesboro, GA 30458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0897964

East Georgia Healthcare Center, Inc · Swainsboro, GA
Active · expires Apr 22, 2027
CLIA Number11D0897964
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorKyle A. Cannady
Laboratory Phone(478) 237-2638
Laboratory LocationEast Georgia Healthcare Center, Inc215 N Coleman Street, Swainsboro, GA 30401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2177432

East Georgia Healthcare Center Inc · Sylvania, GA
Active · expires Jan 9, 2028
CLIA Number11D2177432
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorBillie Stout
Laboratory Phone(478) 237-2638
Laboratory LocationEast Georgia Healthcare Center Inc330 Mims Road, Sylvania, GA 30467
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2095301

East Georgia Healthcare Center, Inc · Wadley, GA
Active · expires May 4, 2027
CLIA Number11D2095301
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorBillie Stout
Laboratory Phone(478) 237-2638
Laboratory LocationEast Georgia Healthcare Center, Inc257 N Main St, Wadley, GA 30477
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2310170

East Georgia Healthcare Center Jenkins Cty Schools · Millen, GA
Active · expires Aug 27, 2026
CLIA Number11D2310170
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorPhyllis Dixon
Laboratory Phone(478) 494-9926
Laboratory LocationEast Georgia Healthcare Center Jenkins Cty Schools433 Barney Avenue, Jenkins High School, 2nd Fl, Millen, GA 30442
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2296446

East Georgia Healthcare Swainsboro School · Swainsboro, GA
Active · expires Dec 27, 2027
CLIA Number11D2296446
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorPhyllis F. Dixon
Laboratory Phone(478) 494-9926
Laboratory LocationEast Georgia Healthcare Swainsboro School258 Tiger Trail, Swainsboro, GA 30401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 East Georgia Healthcare Center, Inc.'s NPI number?

The NPI number for East Georgia Healthcare Center, Inc. is 1063373264. It was assigned to this organization in the NPPES registry on November 19, 2025. The provider is doing business as Langston Chapel Schools.

Where is East Georgia Healthcare Center, Inc. located?

East Georgia Healthcare Center, Inc. is located at 150 Langston Chapel Rd, Statesboro, GA 30458. The listed phone number is (478) 494-9926.

What is East Georgia Healthcare Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does East Georgia Healthcare Center, Inc. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for East Georgia Healthcare Center, Inc. was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.