STATHAM FAMILY PRACTICE PC (NPI# 1689857195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689857195 |
| Entity Type | Organization |
| Organization Name | STATHAM FAMILY PRACTICE PC |
| Practice Address |
1906 Railroad St Suite C Statham GA 30666 |
| Practice Telephone | 6787531122 |
| Mailing Telephone | 6787531122 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2009-02-26 |
| Authorized Official Name | DR. STEVEN A DUROCHER (PRESIDENT) |
| Authorized Official Telephone | 6787531122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 056051 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1906 RAILROAD ST SUITE C |
| City | STATHAM |
| State | GA |
| Zip Code | 30666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447442959 | Statham Medical Clinic | General Practice | 337 Jefferson St., Statham, GA 30666 | 2007-08-17 |
| 1487703245 | Felipe Reyes Musngi | Family Medicine | 337 Jefferson Street, Statham, GA 30666 | 2007-01-10 |
| 1962402461 | Steven Alan Durocher | Emergency Medicine | 1906 Railroad Street, Ste C, Statham Family Practice, PC, Statham, GA 30666 | 2005-07-26 |
| 1639530868 | Statham City Pharmacy LLC | Pharmacy | 333 Jefferson St, Statham, GA 30666 | 2016-03-16 |
| 1356792337 | Matthew Fitzpatrick | Pharmacist | 1860 High Green Dr, Statham, GA 30666-1673 | 2016-06-30 |
| 1164844296 | Statham City Pharmacy | Pharmacy | 333 Jefferson St, Statham, GA 30666-1710 | 2014-01-08 |
| 1770522674 | Barrow-statham Pharmacy | Pharmacist | 333 Jefferson St, Statham, GA 30666-1710 | 2006-06-06 |
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1841504511 | Melindas Guardian Angel Personal Care Home | Community Based Residential Treatment Facility, Mental Illness | 593 Eighth St, Statham, GA 30666-1830 | 2010-08-04 |
| 1760511943 | David R. Epps | Pharmacist | 1918 Railroad St, Statham, GA 30666-1875 | 2007-03-05 |
| Find all providers in zip 30666 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family 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 family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487703245 | Felipe Reyes Musngi | Family Medicine | 337 Jefferson Street, Statham, GA 30666 | 2007-01-10 |
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| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.