INNOVATIVE CLINICAL SERVICES LLC
NPI 1740932227
Family Medicine in Statesboro, GA

Q: What is Innovative Clinical Services LLC's NPI number?

The NPI number for Innovative Clinical Services LLC is 1740932227. It was assigned to this organization in the NPPES registry on January 25, 2022.

Q: What is Innovative Clinical Services LLC's specialty?

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

Active since January 25, 2022

4439 COUNTRY CLUB RD, STATESBORO, GA 30458(912) 489-7979 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2022, Feb 8, 2022, Jan 25, 2022 (3 updates tracked since 2022).

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About Innovative Clinical Services Llc NPPES

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

INNOVATIVE CLINICAL SERVICES LLC (NPI 1740932227) is a healthcare organization registered as a family medicine in Statesboro, Georgia and active in the NPI registry since January 2022. The organization lists Benjamin Ross, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1740932227

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINNOVATIVE CLINICAL SERVICES LLC

Location Address4439 COUNTRY CLUB RDStatesboro, GA 30458-9188

Mailing Address4439 Country Club RdStatesboro, GA 30458-9188 · (912) 489-7979

Phone(912) 489-7979

Organization SubpartNo

Authorized OfficialBenjamin RossOwner/authorized Official · (912) 531-0095

Enumeration DateJanuary 25, 2022

Last NPPES UpdateFebruary 18, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2022

✔ NPI 1740932227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4439 COUNTRY CLUB RD, Statesboro, GA 30458

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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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LTC AT FOREST HEIGHTS PHARMACY

Pharmacy (Long Term Care Pharmacy)