- Medicare Primary Care in Statesboro, GA

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is a medicare enrolled primary clinic (Family Medicine) in Statesboro, Georgia. The current practice location for is 984 Plant Drive, Statesboro, Georgia. For appointments, you can reach them via phone at (912) 478-5641. The mailing address for is Po Box 5199, Abilene, Texas and phone number is (866) 890-6390.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265558118. 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) 478-5641.

Contact Information

984 Plant Drive
Statesboro
GA 30460-0001
(912) 478-5641
(912) 478-1893

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location984 Plant Drive, Statesboro, Georgia
Authorized Official Name and PositionDiane Norris (DIRECTOR OF HEALTH SERVICES)
Authorized Official Contact9124785641
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 5199
Abilene
TX 79608-5199

Ph: (866) 890-6390
984 Plant Drive
Statesboro
GA 30460-0001

Ph: (912) 478-5641

NPI Details:

NPI Number1265558118
Provider Enumeration Date03/22/2007
Last Update Date02/05/2018

Medicare PECOS Information:

Medicare PECOS PAC ID3072605021
Medicare Enrollment IDO20070822000488

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265558118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LW0102XNurse Practitioner - Women's Health (* (Not Available))Secondary

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 NameKatherine A Driver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225088941
PECOS PAC ID: 7113956897
Enrollment ID: I20050812000197
Provider NameBrian M Deloach
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841202868
PECOS PAC ID: 8729010038
Enrollment ID: I20050908000067
Provider NameChristy N Byczkoski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104979954
PECOS PAC ID: 8224051917
Enrollment ID: I20060109000706
Provider NameAngela V Coussons-dyches
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952454720
PECOS PAC ID: 8527150036
Enrollment ID: I20070828000564
Provider NameOphelia Gherman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972763043
PECOS PAC ID: 1557532991
Enrollment ID: I20110915000598
Provider NameAli M. Shropshire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609185701
PECOS PAC ID: 6901072396
Enrollment ID: I20120106000291

Reviews and Comments


Family Medicine in Statesboro, GA

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Phone: 912-681-7111    Fax: 912-871-7794

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Medicare: Medicare Enrolled
Practice Location: 110 Rushing Ln, Statesboro, GA 30458
Phone: 912-243-9274    

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Medicare: Not Enrolled in Medicare
Practice Location: 1058 Bermuda Run, Statesboro, GA 30458
Phone: 912-542-0444    Fax: 833-639-1102

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 16741 Highway 67, Suite A, Statesboro, GA 30458
Phone: 912-871-7890    Fax: 912-871-7898

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.