Statesboro Hma Physician Management LLC
NPI 1558412023ActiveOrganization· Hospitalist· Statesboro, GA
Hospitalist in Statesboro, Georgia, registered in NPPES in January 2007. The authorized official on file is Jennifer L. Jackson, Sr Dur Prov Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558412023 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2007 |
| Last updated in NPPES | Dec 13, 2022 |
| Certified by provider | Dec 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | — | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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