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

Mr. George William Durrell IV, PA-C

Individual provider Physician Assistant · NPI 1053144238

Mr. George William Durrell IV, PA-C is a Physician Assistant in Statesboro, Georgia. Qualified in 2024, 2 years ago. Practices with East Georgia Hma Physician Management LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1497 Fair Rd Ste 200
Statesboro, GA 30458-0824
Phone: (912) 871-7100
Fax: (912) 871-7110
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 12628 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 12628 (GA)

Record details

NPI number1053144238
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice East Georgia Hma Physician Management Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Statesboro