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

Statham Medical Clinic

Organization General Practice Physician · NPI 1447442959

Statham Medical Clinic is a General Practice Physician in Statham, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

337 Jefferson St
Statham, GA 30666
Phone: (770) 725-7994
Fax: (770) 725-7994
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 023195 (GA)

Record details

NPI number1447442959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felipe Musngi — President · (770) 725-7994
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 17, 2007
Mailing address337 Jefferson Street, Statham, GA 30666