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

Active since March 22, 2007
984 PLANT DRIVE, STATESBORO, GA 30460(912) 478-5641(912) 478-1893 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Georgia Southern University Health Services NPPES

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

GEORGIA SOUTHERN UNIVERSITY HEALTH SERVICES (NPI 1265558118) is a healthcare organization registered as a family medicine in Statesboro, Georgia and active in the NPI registry since March 2007. The organization lists Diane Norris, Director Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1265558118
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEORGIA SOUTHERN UNIVERSITY
Location Address984 PLANT DRIVEStatesboro, GA 30460-0001
Mailing AddressPo Box 5199Abilene, TX 79608-5199 · (866) 890-6390 · Fax (325) 437-8390
Fax(912) 478-1893
Organization SubpartYes
Authorized OfficialDiane NorrisDirector Of Health Services · (912) 478-5641
Enumeration DateMarch 22, 2007
Last NPPES UpdateFebruary 5, 2018
✔ NPI 1265558118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
984 PLANT DRIVE, Statesboro, GA 30460

Other Names 1

Doing Business AsGeorgia Southern University Health Services

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Southern University Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Georgia Southern University Health Services, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1952454720
0404 FOREST DR
Statesboro, GA 30460
(912) 681-5641
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1104979954
1601 FAIR RD SUITE 400
Statesboro, GA 30458
(912) 871-8900
✔ PECOS1.3 mi
Family Practice
NPI 1841202868
658 NORTHSIDE DR E STE A
Statesboro, GA 30458
(912) 764-9684
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1225088941
127 TELFAIR ST
Augusta, GA 30901
(706) 922-0600
✔ PECOS✔ Accepts Medicare73 mi
Family Practice
NPI 1972763043
206 WEST CENTER ST SUITE 104
Carrollton, GA 30117
(470) 777-3400
✔ PECOS207 mi
Nurse Practitioner
NPI 1609185701
575 STANTON RD
Mobile, AL 36617
(251) 471-7207
✔ PECOS391 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Georgia Southern University's NPI number?

The NPI number for Georgia Southern University is 1265558118. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Georgia Southern University Health Services.

Where is Georgia Southern University located?

Georgia Southern University is located at 984 Plant Drive, Statesboro, GA 30460. The listed phone number is (912) 478-5641.

What is Georgia Southern University's specialty?

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

Is Georgia Southern University enrolled in Medicare?

Yes. Georgia Southern University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Southern University?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Georgia Southern University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Georgia Southern University was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.