Statesboro ENT Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

024663 Issued in GA

Legal business name

STATESBORO ENT SURGICAL CENTER

Doing business as

Statesboro ENT Surgical Center

Practice address

106 Proctor St
Statesboro, GA 30458-1351

Phone

(912) 764-8200

Fax

(912) 489-2954

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Thomas M Crews, MDNPI 1518910082

Title

Owner

Phone

(912) 764-8200

Specialties & licenses 1

Addresses

Other names 1

• Statesboro ENT Surgical Center Doing business as

Practitioners 1

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

• Thomas M Crews, MD

  • Specialist
  • Statesboro, GA
  • NPI 1518910082
  NPD (past) Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659327294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PROCTOR ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581351",
            "telephone_number": "912-764-8200",
            "fax_number": "912-489-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PROCTOR ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581351",
            "telephone_number": "912-764-8200",
            "fax_number": "912-489-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESBORO ENT SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-764-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "024663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statesboro ENT Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Statesboro Cardiology, PC
• Statesboro Children's Dental Center, PC
• Statesboro ENT & FPS Clinic, P.C. (Statesboro ENT & H Clinic)
• Statesboro ENT & Sinus Center
• Statesboro ENT Surgical Center
• Statesboro Gastroenterology Inc
• Statesboro General Medical Clinic LLC
• Statesboro Gi Anesthesia LLC
• Statesboro Hma Medical Group, LLC (Total Health Center for Family Medicine)
• Statesboro Hma Physician Management LLC

• Ambulatory Surgical Clinic/Center in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Ambulatory Surgical Clinic/Center 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.