<unavail> in Statesboro, GA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Statesboro, Georgia. The current practice location for is 62 E Main St, Statesboro, Georgia. For appointments, you can reach them via phone at (912) 225-3220. The mailing address for is 430 Northside Dr E Ste 160, Statesboro, Georgia and phone number is (912) 225-3220.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679032205. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (912) 225-3220.

Contact Information


	62 E Main St Statesboro GA 30458-4844
	(912) 225-3220
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	62 E Main St, Statesboro, Georgia
Authorized Official Name and Position	Nancy Hurlock (OWNER)
Authorized Official Contact	9122253220
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
430 Northside Dr E Ste 160 Statesboro GA 30458-4758 Ph: (912) 225-3220	62 E Main St Statesboro GA 30458-4844 Ph: (912) 225-3220

NPI Details:

NPI Number	1679032205
Provider Enumeration Date	03/13/2019
Last Update Date	09/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	5092058453
Medicare Enrollment ID	O20190528002372

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679032205	NPI	-	NPPES
1245729300	Other	GA	NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Nancy A Hurlock
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1245729300 PECOS PAC ID: 4880880335 Enrollment ID: I20190612000879

Reviews and Comments

Clinic/Center in Statesboro, GA

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- Medicare Primary Care in Statesboro, GA