GEORGIA SOUTHERN UNIVERSITY HEALTH SERVICES
NPI 1265558118
Family Medicine in Statesboro, GA

NPI Status: Active since March 22, 2007

Contact Information

984 PLANT DRIVE
STATESBORO, GA
ZIP 30460
Phone: (912) 478-5641
Fax: (912) 478-1893

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  • Organization
  • Family Medicine
  • CLIA Number: 11D2263664
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 06-30-2026

About GEORGIA SOUTHERN UNIVERSITY HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Georgia Southern University Health Services, a primary care provider established in Statesboro, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1265558118 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Georgia Southern University Health Services 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 Georgia Southern University Health Services. The authorized official of this NPI record is Diane Norris (Director Of Health Services)

NPI
1265558118
Provider Legal Name
GEORGIA SOUTHERN UNIVERSITY
Other Organization Name
GEORGIA SOUTHERN UNIVERSITY HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
984 PLANT DRIVE STATESBORO, GA 30460
Location Phone
(912) 478-5641
Location Fax
(912) 478-1893
Mailing Address
PO BOX 5199 ABILENE, TX 79608
Mailing Phone
(866) 890-6390
Mailing Fax
(912) 478-1893
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-22-2007
Last Update Date
02-05-2018
Code Navigator

A primary care provider (PCP) like Georgia Southern University Health Services 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 .

Location Map

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
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)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
2363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

 

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

DIANE NORRIS

Authorized Official Title
DIRECTOR OF HEALTH SERVICES
Authorized Official Phone
(912) 478-5641

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2263664
Facility Type
School/Student Health Service
Certificate Effective Date
July 01, 2024
Certificate Expiration Date
June 30, 2026
Laboratory Director
ANGELA GERGUIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Georgia Southern University Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1265558118, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 0 + 5 + 1 + 6 + 1 + 2 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1265558118.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine (Sports Medicine)
984 PLANT DRIVE
STATESBORO, GA 30460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265558118, enumerated as an "organization" on March 22, 2007.

The provider is located at 984 PLANT DRIVE STATESBORO, GA 30460 and the phone number is (912) 478-5641.

Family Medicine with taxonomy code 207Q00000X.