Smith & Purvis Family Practice Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18745 Issued in GA

Legal business name

SMITH & PURVIS FAMILY PRACTICE CLINIC, PC

Doing business as

Statesboro Family Practice Clinic

Practice address

412 Northside Dr E
Suite 200
Statesboro, GA 30458-4802

Phone

(912) 764-9684

Fax

(912) 489-8676

NPI assigned

Nov 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Teri S Daigneault, CPC

Title

Medical Coder

Phone

(912) 764-1039

Specialties & licenses 3

Addresses

Other names 1

• Statesboro Family Practice Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Kevin Purvis, M.D.

  • Family Medicine Physician
  • Statesboro, GA
  • NPI 1780687954
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043384183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NORTHSIDE DR E",
            "address_2": "SUITE 200",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584802",
            "telephone_number": "912-764-9684",
            "fax_number": "912-489-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NORTHSIDE DR E",
            "address_2": "SUITE 200",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584802",
            "telephone_number": "912-764-9684",
            "fax_number": "912-489-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & PURVIS FAMILY PRACTICE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL CODER",
        "authorized_official_telephone_number": "912-764-1039",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "18745",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "029847",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statesboro Family Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skills for Life Counseling Center
• Callaway Anderson Skinner, PA-C
• Alan W Skipper, APRN, FNP-BC
• James Fentem Small III, MD
• Tinasia Smalls
• Beverly B. Smith, NURSE PRACTITIONER
• Britney A Smith
• Cainan Smith
• Emory Powers Smith III, M.D.
• Hubert Randolph Smith, M.D.

• Family Medicine Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.