NPI age
13 years
Enumerated 2012-11-06
● Active Type 2 · Organization
Georgia Southern University
Georgia Southern University is 1 of 32 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ferguson
Director
Last NPPES update
2012-11-06
Source: monthly bulk 2026-05
How this organization compares
Across 32 active clinic/center providers in Georgia.
NPI age
13 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
590 Herty Drive, Room 1216
Statesboro, GA 30458
Mailing address
590 Herty Drive, Room 1216
Statesboro, GA 30458
Authorized official
Paul Ferguson
Director
📞 9125362239
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Kaitlyn Meyers, LAT, ATC Specialist/Technologist NPI 1780140897
- Lauren Simerly Student in an Organized Health Care Education/Training Program NPI 1326556978
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Georgia Southern University Athletics
Practice context
Multi-provider organization. 2 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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