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

Smith & Purvis Family Practice Clinic, PC

Organization Family Medicine Physician · NPI 1043384183

Smith & Purvis Family Practice Clinic, PC is a Family Medicine Physician in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 Northside Dr E Ste 200
Statesboro, GA 30458-4802
Phone: (912) 764-9684
Fax: (912) 489-8676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18745 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 029847 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 048703 (GA)

Record details

NPI number1043384183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teri Daigneault — Medical Coder · (912) 764-1039
Other names Statesboro Family Practice Clinic
NPI enumeratedNovember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address412 Northside Dr E, Suite 200, Statesboro, GA 30458-4802

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