Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAI FUJIMOTO
NPI 1205755295
Nurse Practitioner - Acute Care in Statesboro, GA

Q: What is Mai Fujimoto's NPI number?

The NPI number for Mai Fujimoto is 1205755295. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Mai Fujimoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mai Fujimoto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.

Active since July 13, 2026

450 GEORGIA AVE STE B, STATESBORO, GA 30458(912) 871-2200 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mai Fujimoto NPPES

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

MAI FUJIMOTO (NPI 1205755295) is an individual acute care provider in Statesboro, Georgia, licensed in Georgia (APRN-NP258499) and active in the NPI registry since July 2026. She maintains a secondary practice location in Vidalia.

NPPES Registry Identity

NPI1205755295

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMAI FUJIMOTO

Location Address450 GEORGIA AVE STE BStatesboro, GA 30458-5590

Mailing Address450 Georgia Ave Ste BStatesboro, GA 30458-5590 · (912) 871-2200

Phone(912) 871-2200

Sole ProprietorYes

Enumeration DateJuly 13, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1205755295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · APRN-NP258499

450 GEORGIA AVE STE B, Statesboro, GA 30458

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Secondary Practice Location 1

Location 1306 Maple DrVidalia, GA 30474-8909 · Phone (912) 537-2331

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

Other Providers at the Same Location NPPES

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

MELISSA BEASLEY NP

Nurse Practitioner (Family)

450 GEORGIA AVE STE B
STATESBORO, GA 30458

Bulloch County (912) 871-2200

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 Mai Fujimoto's NPI number?

The NPI number for Mai Fujimoto is 1205755295. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Mai Fujimoto located?

Mai Fujimoto practices at 450 Georgia Ave Ste B, Statesboro, GA 30458. The listed phone number is (912) 871-2200.

What is Mai Fujimoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Mai Fujimoto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.