Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Southern University

Organization Family Medicine Physician · NPI 1265558118

Georgia Southern University is a Family Medicine Physician in Statesboro, Georgia. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

984 Plant Dr
Statesboro, GA 30460-0001
Phone: (912) 478-5641
Fax: (912) 478-1893
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X
Women's Health Nurse Practitioner Taxonomy 363LW0102X

Record details

NPI number1265558118
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Southern University
Authorized official Diane Norris — Director Of Health Services · (912) 478-5641
Other names Georgia Southern University Health Services
NPI enumeratedMarch 22, 2007
Last updated in NPPESFebruary 5, 2018
Mailing addressPo Box 5199, Abilene, TX 79608-5199

Other providers in Statesboro