Organization Active NPI

Statesboro ENT & Sinus Center

  • Specialist
  • Statesboro, GA
National Provider Identifier
1477506467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.