NPI age
19 years
Enumerated 2006-11-20
● Active Type 2 · Organization
Smith & Purvis Family Practice Clinic, Pc
Smith & Purvis Family Practice Clinic, Pc is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Daigneault
Medical Coder
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
412 Northside Dr E, Suite 200
Statesboro, GA 304584802
Mailing address
412 Northside Dr E, Suite 200
Statesboro, GA 304584802
Authorized official
Teri S Daigneault, CPC
Medical Coder
📞 9127641039
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Cheryl Ard, ANP-BC Nurse Practitioner NPI 1780938647
- Charles Jordan, DMD Dentist NPI 1518516392
- Subuhi Siddiqui, DDS Dentist NPI 1932081072
- Paul Tilson, MD Urology NPI 1922091214
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Statesboro Family Practice Clinic
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.