STATESBORO PSYCHIATRIC ASSOCIATES
NPI 1083830400
Psychiatry & Neurology - Psychiatry in Statesboro, GA

Active since April 17, 2007CLIA 11D2024994 · Waiver
116 HILL POND LN, STATESBORO, GA 30458(912) 489-1629(912) 489-1630 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Statesboro Psychiatric Associates NPPES

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

STATESBORO PSYCHIATRIC ASSOCIATES (NPI 1083830400) is a healthcare organization registered as a psychiatry in Statesboro, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Stephanie Lichtman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083830400
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSTATESBORO PSYCHIATRIC ASSOCIATES
Location Address116 HILL POND LNStatesboro, GA 30458
Mailing Address116 Hill Pond LnStatesboro, GA 30458
Fax(912) 489-1630
Organization SubpartNo
Authorized OfficialStephanie LichtmanOffice Manager · (912) 489-1629
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1083830400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

116 HILL POND LN, Statesboro, GA 30458

Other Identifiers 1

OtherI DON'T KNOWI Don't Know

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 11D2024994

Statesboro Psychiatric Associates · Statesboro, GA
Active · expires May 30, 2027
CLIA Number11D2024994
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorOlufowobi Gbadebo
Laboratory Phone(912) 489-1629
Laboratory LocationStatesboro Psychiatric Associates116 Hill Pond Lane, 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.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
116 HILL POND LN
STATSBORO, GA 30458
Nurse Practitioner (Psychiatric/Mental Health)
116 HILL POND LN
STATESBORO, GA 30458
Psychiatry & Neurology (Child & Adolescent Psychiatry)
116 HILL POND LN
STATESBORO, GA 30458
Counselor (Professional)
116 HILL POND LN
STATESBORO, GA 30458

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 Psychiatric Associates's NPI number?

The NPI number for Statesboro Psychiatric Associates is 1083830400. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Statesboro Psychiatric Associates located?

Statesboro Psychiatric Associates is located at 116 Hill Pond Ln, Statesboro, GA 30458. The listed phone number is (912) 489-1629.

What is Statesboro Psychiatric Associates's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Statesboro Psychiatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2024994) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Statesboro Psychiatric Associates was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.