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STATHAM MEDICAL CLINIC
NPI 1447442959
General Practice in Statham, GA

Active since August 17, 2007
337 JEFFERSON ST., STATHAM, GA 30666(770) 725-7994(770) 725-7994 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Statham Medical Clinic NPPES

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

STATHAM MEDICAL CLINIC (NPI 1447442959) is a healthcare organization registered as a general practice in Statham, Georgia and active in the NPI registry since August 2007. The organization lists Felipe R Musngi, President, as its authorized official.

NPPES Registry Identity

NPI1447442959
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTATHAM MEDICAL CLINIC
Location Address337 JEFFERSON ST.Statham, GA 30666
Mailing Address337 Jefferson StreetStatham, GA 30666 · (770) 725-7994 · Fax (770) 725-7994
Phone(770) 725-7994
Fax(770) 725-7994
Organization SubpartNo
Authorized OfficialFelipe R MusngiPresident · (770) 725-7994
Enumeration DateAugust 17, 2007
✔ NPI 1447442959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 023195
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
337 JEFFERSON ST., Statham, GA 30666
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Other Identifiers 1

Medicare PIN256198811AGA

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

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 Statham Medical Clinic's NPI number?

The NPI number for Statham Medical Clinic is 1447442959. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Statham Medical Clinic located?

Statham Medical Clinic is located at 337 Jefferson St., Statham, GA 30666. The listed phone number is (770) 725-7994.

What is Statham Medical Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Statham Medical Clinic was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.