Active NPI
Statesboro ENT & Sinus Center
- Specialist
- Statesboro, GA
National Provider Identifier
1477506467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- STATESBORO ENT & SINUS CENTER
- Practice address
- 1497 Fair Rd
Suite 205
Statesboro, GA 30458-0822 - Phone
- (912) 681-7368
- Fax
- (912) 681-3687
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lincoln Hammell Lippincott, M.D.
- Title
- President
- Phone
- (912) 681-7368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1497 Fair Rd
Suite 205
Statesboro, GA 30458-0822
Mailing address
1497 Fair Rd
Suite 205
Statesboro, GA 30458-0822
Phone (912) 681-7368
National Provider Directory
National Provider DirectoryLocations
1497 Fair Rd
Ste 205
Statesboro, GA 30458
Phone (912) 259-9881
120 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 681-7368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477506467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 FAIR RD",
"address_2": "SUITE 205",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580822",
"telephone_number": "912-681-7368",
"fax_number": "912-681-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 FAIR RD",
"address_2": "SUITE 205",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580822",
"telephone_number": "912-681-7368",
"fax_number": "912-681-3687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATESBORO ENT & SINUS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LIPPINCOTT",
"authorized_official_first_name": "LINCOLN",
"authorized_official_middle_name": "HAMMELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-681-7368",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- Statesboro Ambulatory Surgery Center Inc
- Statesboro Ambulatory Surgery Center, Inc
- Statesboro Cardiology, PC
- Statesboro Children's Dental Center, PC
- Statesboro ENT & FPS Clinic, P.C. (Statesboro ENT & H Clinic)
- Statesboro ENT Surgical Center
- Statesboro ENT Surgical Center
- Statesboro Gastroenterology Inc
- Statesboro General Medical Clinic LLC
- Statesboro Gi Anesthesia LLC
Sources for this page
- 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.