Statesboro Family Practice Clinic - Medicare Primary Care in Statesboro, GA

Statesboro Family Practice Clinic is a medicare enrolled primary clinic (Family Medicine) in Statesboro, Georgia. The current practice location for Statesboro Family Practice Clinic is 412 Northside Dr E, Suite 200, Statesboro, Georgia. For appointments, you can reach them via phone at (912) 764-9684. The mailing address for Statesboro Family Practice Clinic is 412 Northside Dr E, Suite 200, Statesboro, Georgia and phone number is (912) 764-9684.

Statesboro Family Practice Clinic is licensed to practice in Georgia (license number 18745). The clinic also participates in the medicare program and its NPI number is 1043384183. 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) 764-9684.

Contact Information

Statesboro Family Practice Clinic
412 Northside Dr E
Suite 200
Statesboro
GA 30458-4802
(912) 764-9684
(912) 489-8676

Map and Direction


Primary Care Clinic Profile

Full NameStatesboro Family Practice Clinic
SpecialityFamily Medicine
Location412 Northside Dr E, Statesboro, Georgia
Authorized Official Name and PositionTeri S Daigneault (MEDICAL CODER)
Authorized Official Contact9127641039
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Statesboro Family Practice Clinic
412 Northside Dr E
Suite 200
Statesboro
GA 30458-4802

Ph: (912) 764-9684
Statesboro Family Practice Clinic
412 Northside Dr E
Suite 200
Statesboro
GA 30458-4802

Ph: (912) 764-9684

NPI Details:

NPI Number1043384183
Provider Enumeration Date11/20/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1658275771
Medicare Enrollment IDO20040107000430

Medical Identifiers

Medical identifiers for Statesboro Family Practice Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043384183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 029847 (Georgia)Secondary
207Q00000XFamily Medicine 048703 (Georgia)Secondary
207Q00000XFamily Medicine 18745 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Statesboro Family Practice Clinic acts as a billing entity for following providers:
Provider NameHenry K Purvis
Provider TypePractitioner - Family Medicine
Provider IdentifiersNPI Number: 1780687954
PECOS PAC ID: 8426952540
Enrollment ID: I20040308000453
Provider NameKaren L Deal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093856767
PECOS PAC ID: 7416912431
Enrollment ID: I20041201000298
Provider NameCarla Branch
Provider TypePractitioner - Family Medicine
Provider IdentifiersNPI Number: 1851394969
PECOS PAC ID: 4688790652
Enrollment ID: I20100928000019
Provider NameHubert Randolph Smith
Provider TypePractitioner - Family Medicine
Provider IdentifiersNPI Number: 1457354631
PECOS PAC ID: 0345144465
Enrollment ID: I20100928000023
Provider NameShelly Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437557287
PECOS PAC ID: 3779870126
Enrollment ID: I20160928001734
Provider NamePatricia V Law
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700962651
PECOS PAC ID: 0547557860
Enrollment ID: I20160929001041
Provider NameScott L Mikell
Provider TypePractitioner - Family Medicine
Provider IdentifiersNPI Number: 1386056422
PECOS PAC ID: 8820371974
Enrollment ID: I20181010003298

Reviews and Comments


Family Medicine in Statesboro, GA

East Georgia Urgent Care
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30459
Phone: 912-764-2273    
Gastroenterology Institute, Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458
Phone: 912-681-6944    Fax: 912-681-8744
Brian A Moogerfeld Md, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1088a Bermuda Run, Statesboro, GA 30458
Phone: 912-681-7111    Fax: 912-871-7794
Family Health Care Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 23702 Highway 80 East, Statesboro, GA 30458
Phone: 912-489-4090    Fax: 912-764-5028
Mark S Mccracken Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 23 Lester Rd, Statesboro, GA 30458
Phone: 912-764-7900    Fax: 912-489-3380
Statesboro Pediatrics & Family Healthcare
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1570 Brampton Avenue, Statesboro, GA 30458
Phone: 478-764-9196    Fax: 912-764-8401

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.