EAST GEORGIA URGENT CARE (NPI# 1003011693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003011693 |
Entity Type | Organization |
Organization Name | EAST GEORGIA URGENT CARE |
Practice Address |
4451 Country Club Rd Suite 3a Statesboro GA 30459 |
Mailing Address |
Po Box 1989 Statesboro GA 30459-1989 |
Practice Telephone | 9127642273 |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ROBERT M BENSON JR. (PHYSICAN) |
Authorized Official Telephone | 9127642273 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Street Address |
4451 COUNTRY CLUB RD SUITE 3A |
City | STATESBORO |
State | GA |
Zip Code | 30459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013921428 | Robert Moore Benson Jr. | Family Medicine | 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458-9188 | 2006-07-28 |
1285750166 | Troy Michael Lawhorn | Dentist | 4451 Country Club Rd, Suite B, Statesboro, GA 30458-9233 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154498004 | Lee Ann Scott | Psychologist | 110 Rushing Lane, Po Box 1681, Statesboro, GA 30459 | 2006-11-29 |
1093887770 | Robert D Counts | Nurse Anesthetist, Certified Registered | 1499 Fair Rd, Statesboro, GA 30459-1048 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326646175 | Heather Petty | Behavior Technician | 1924 Edenfield Ln, Statesboro, GA 30461-7222 | 2020-10-14 |
1982217188 | Nikita Robinson | Counselor | 108b Nature Way, Statesboro, GA 30458-0501 | 2020-08-26 |
1093327462 | Lauryn Ashleigh Metzdorf | Student in an Organized Health Care Education/Training Program | 816 S Main St Apt 164, Statesboro, GA 30458-3476 | 2020-08-18 |
1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
1568073203 | Kristen Noel Dickens | Counselor | 326 Myrtle Crossing Dr Ste 200, Statesboro, GA 30458-4689 | 2020-08-15 |
1679191944 | Angela Landers | Counselor | 303 Palomino Path, Statesboro, GA 30458-9703 | 2020-07-13 |
1013535657 | Statesboro Medical Group, LLC | Clinic/Center | 1176 Brampton Ave, Statesboro, GA 30458-0847 | 2020-07-09 |
1962020057 | Shantera Clark | Nurse Practitioner | 630 Ogeechee Dr W, Statesboro, GA 30461-6753 | 2020-07-06 |
1053936146 | Rachel Lauren Binkley | Dietitian, Registered | 350 Rucker Ln # 257, Statesboro, GA 30458-3241 | 2020-06-15 |
1407471741 | Jared Jerel Weaver | Contractor | 210 Foxlake Dr, Statesboro, GA 30458-4400 | 2020-06-12 |
Find all providers in STATESBORO |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942675863 | Southern Weight Loss Clinic, LLC | Family Medicine | 1098 Bermuda Run Ste 6, Statesboro, GA 30458-0878 | 2015-12-03 |
1174887004 | Iris Kalin Clark | Family Medicine | 1550 Brampton Ave, Ste B, Statesboro, GA 30458-0886 | 2012-06-26 |
1134439581 | Aaron Taylor Clark | Family Medicine | 117 Hill Pond Ln, Statesboro, GA 30458-0872 | 2010-10-19 |
1013245091 | Leslie Amanda Pittman | Family Medicine | 16741 Hwy 67, Suite A, Statesboro, GA 30458 | 2009-12-02 |
1528299393 | Southern Family Medicine of Georgia, LLC | Family Medicine | 1140 Brampton Ave, Statesboro, GA 30458 | 2009-07-28 |
1972684546 | Glen J. Dasher | Family Medicine | 1140 Brampton, Statesboro, GA 30458 | 2006-10-18 |
1821103482 | Christopher W Munger | Family Medicine | 23702 Hwy 80 East, Statesboro, GA 30458 | 2006-08-21 |
1841202868 | Brian Mixon Deloach | Family Medicine | 984 Plant Drive, Statesboro, GA 30460-0001 | 2006-08-12 |
1013921428 | Robert Moore Benson Jr. | Family Medicine | 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458-9188 | 2006-07-28 |
1104874031 | Thaddeus H Riley | Family Medicine | 23702 Hwy 80 E, Statesboro, GA 30458 | 2006-05-04 |
Find all providers in STATESBORO |
City | STATESBORO |
Zip Code | 30459 |
Please comment or provide details below to improve the information on EAST GEORGIA URGENT CARE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.