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INTERNAL MEDICINE ASSOCIATES OF STATESBORO II, PC
NPI 1508914367
Internal Medicine in Statesboro, GA

Active since January 08, 2007CLIA 11D0955779 · Waiver
1601 FAIR RD, SUITE 700, STATESBORO, GA 30458(912) 681-8488(912) 681-4337 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Internal Medicine Associates Of Statesboro Ii, Pc NPPES

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

INTERNAL MEDICINE ASSOCIATES OF STATESBORO II, PC (NPI 1508914367) is a healthcare organization registered as an internal medicine in Statesboro, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Saraju C Dalsania, Owner, as its authorized official.

NPPES Registry Identity

NPI1508914367
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE ASSOCIATES OF STATESBORO II, PC
Location Address1601 FAIR RD, SUITE 700Statesboro, GA 30458-1698
Mailing Address1601 Fair Road, Suite 700Statesboro, GA 30458-0800 · (912) 681-8488 · Fax (912) 681-4337
Phone(912) 681-8488
Fax(912) 681-4337
Organization SubpartNo
Authorized OfficialSaraju C DalsaniaOwner · (912) 681-8488
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 27, 2010
✔ NPI 1508914367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 045196
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1601 FAIR RD, Statesboro, GA 30458
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Other Identifiers 3

Medicare UPING71528GA
Medicare ID-Type UnspecifiedGRP6908GA · Georgia Medicare B
Medicaid602993737AGA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medicine Associates Of Statesboro Ii, Pc 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 Internal Medicine Associates Of Statesboro II, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Saraju Dalsania, M.D.
Internal Medicine
NPI 1346420494
1601 FAIR RD SUITE 700
Statesboro, GA 30458
(912) 681-8488
✔ PECOS✔ Accepts Medicare0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0955779

Internal Medicine Associates Of Statesboro II, PC · Statesboro, GA
Active · expires Apr 22, 2027
CLIA Number11D0955779
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorSaraju C. Dalsania
Laboratory Phone(912) 681-8488
Laboratory LocationInternal Medicine Associates Of Statesboro II, PC1601 Fair Road Suite 700, Statesboro, GA 30458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Internal Medicine Associates Of Statesboro II, PC's NPI number?

The NPI number for Internal Medicine Associates Of Statesboro II, PC is 1508914367. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Internal Medicine Associates Of Statesboro II, PC located?

Internal Medicine Associates Of Statesboro II, PC is located at 1601 Fair Rd Suite 700, Statesboro, GA 30458. The listed phone number is (912) 681-8488.

What is Internal Medicine Associates Of Statesboro II, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine Associates Of Statesboro II, PC enrolled in Medicare?

Yes. Internal Medicine Associates Of Statesboro II, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Associates Of Statesboro II, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Internal Medicine Associates Of Statesboro II, PC. 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.

Does Internal Medicine Associates Of Statesboro II, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0955779) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine Associates Of Statesboro II, PC was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.