NPIMap

Organization Active NPI

Georgia Southern University School of Nursing Community Nursing Center

  • Community Health Clinic/Center
  • Statesboro, GA
National Provider Identifier
1255575890
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
RN117953 NP Issued in GA
Legal business name
GEORGIA SOUTHERN UNIVERSITY SCHOOL OF NURSING COMMUNITY NURSING CENTER
Practice address
250 Forrest Dr
RM# 1004
Statesboro, GA 30460-0001
Phone
(912) 478-5166
Fax
(912) 478-5400
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Ms. Angela Dawne Thompson, FNP
Title
Director of Nursing Clinic
Phone
(912) 478-5166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X RN117953 NP GA Primary

Addresses

Primary practice location

250 Forrest Dr
RM# 1004
Statesboro, GA 30460-0001

Mailing address

250 Forrest Dr
RM# 1004
Statesboro, GA 30460-0001
Phone (912) 478-5166

National Provider Directory

National Provider Directory
Tax ID family
Georgia Southern University School of Nursing Community Nursing Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 Forrest Dr
Statesboro, GA 30460
Phone (912) 478-5166

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1255575890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FORREST DR",
            "address_2": "RM# 1004",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304600001",
            "telephone_number": "912-478-5166",
            "fax_number": "912-478-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FORREST DR",
            "address_2": "RM# 1004",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304600001",
            "telephone_number": "912-478-5166",
            "fax_number": "912-478-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SOUTHERN UNIVERSITY SCHOOL OF NURSING COMMUNITY NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DAWNE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING CLINIC",
        "authorized_official_telephone_number": "912-478-5166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": "RN117953 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.