Statesboro Hma Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STATESBORO HMA MEDICAL GROUP, LLC

Practice address

16741 Highway 67
Suite a
Statesboro, GA 30458-2528

Phone

(912) 871-7890

Fax

(912) 871-7898

NPI assigned

Dec 16, 2010

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael L Gingras

Title

Vice President

Phone

(239) 598-3131

Specialties & licenses 2

Addresses

Other names 1

• Total Health Center for Family Medicine Doing business as

Practitioners 4

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

• Angela Sellers Gerguis, M.D.

  • Family Medicine Physician
  • Statesboro, GA
  • NPI 1265480172
  NPD (past)
• John S Gerguis, M.D.

  • Family Medicine Physician
  • Statesboro, GA
  • NPI 1336197250
  NPD (past)
• Jennifer M Wolfe, M.-P.A.-C.

  • Medical Physician Assistant
  • Statesboro, GA
  • NPI 1104905710
  NPD (past)
• Felicia D Kennicott, PA-C

  • Physician Assistant
  • Deerfield Beach, FL
  • NPI 1376710541
  NPD (past)

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1194028977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082733",
            "telephone_number": "239-598-3131",
            "fax_number": "239-592-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16741 HIGHWAY 67",
            "address_2": "SUITE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582528",
            "telephone_number": "912-871-7890",
            "fax_number": "912-871-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESBORO HMA MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC",
        "enumeration_date": "2010-12-16",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Health Center for Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Statesboro General Medical Clinic LLC
• Statesboro Gi Anesthesia LLC
• Statesboro Hma Physician Management LLC
• Statesboro Imaging Center, P.C.
• Statesboro Imaging Center, P.C.
• Statesboro Medical Group, LLC
• Statesboro Neurosurgery, LLC

• 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 Nov 26, 2012; 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.