STATESBORO ENT & H CLINIC
NPI 1396791976
Specialist in Statesboro, GA
About Statesboro Ent & H Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATESBORO ENT & H CLINIC (NPI 1396791976) is a healthcare organization registered as a specialist in Statesboro, Georgia and active in the NPI registry since May 2006. The organization lists Thomas M Crews, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Statesboro Ent & H Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Statesboro Ent & H Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Statesboro Ent & Fps Clinic, P.C.'s NPI number?
The NPI number for Statesboro Ent & Fps Clinic, P.C. is 1396791976. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Statesboro Ent & H Clinic.
Where is Statesboro Ent & Fps Clinic, P.C. located?
Statesboro Ent & Fps Clinic, P.C. is located at 106 Proctor St, Statesboro, GA 30458. The listed phone number is (912) 764-8200.
What is Statesboro Ent & Fps Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Statesboro Ent & Fps Clinic, P.C. enrolled in Medicare?
Yes. Statesboro Ent & Fps Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Statesboro Ent & Fps Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Statesboro Ent & Fps Clinic, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Statesboro Ent & Fps Clinic, P.C. accept?
Health plans from Alliant Health Plans, Inc. list Statesboro Ent & Fps Clinic, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Statesboro Ent & Fps Clinic, P.C. was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Statesboro Ent & H Clinic · NPI 1396791976
Specialist organization in Statesboro, Georgia. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1396791976 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Statesboro Ent & Fps Clinic, P.c.
- **Organization subpart:** No
- **Authorized official:** Thomas Crews, OWNER
## Practice location
- **Address:** 106 PROCTOR ST, Statesboro, GA 30458-1351
- **Phone:** (912) 764-8200 · **Fax:** (912) 489-2954
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Otolaryngology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2011
- **Other identifiers:** Other REF761734385 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1396791976) · Data from the CMS NPPES public registry.