Georgia Southern University
NPI 1265558118ActiveOrganization· Family Medicine· Statesboro, GA
Family Medicine in Statesboro, Georgia, registered in NPPES in March 2007, part of Georgia Southern University. The authorized official on file is Diane Norris, Director Of Health Services. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265558118 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Southern University |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Feb 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Women's Health | 363LW0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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