GEORGIA SOUTHERN UNIVERSITY – NPI #1558615096
Clinic/Center

GEORGIA SOUTHERN UNIVERSITY is an AHC clinic located in STATESBORO, GA. NPPES has assigned the NPI number 1558615096 to GEORGIA SOUTHERN UNIVERSITY on November 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GEORGIA SOUTHERN UNIVERSITY is also known by the name GEORGIA SOUTHERN UNIVERSITY ATHLETICS. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GEORGIA SOUTHERN UNIVERSITY below.

NPI Profile for
GEORGIA SOUTHERN UNIVERSITY

NPI Number
1558615096
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEORGIA SOUTHERN UNIVERSITY
Other Name: GEORGIA SOUTHERN UNIVERSITY ATHLETICS
Primary location
590 HERTY DRIVE
ROOM 1216
STATESBORO, GA 30458
Phone: (912) 478-7581 Fax: (912) 478-7690
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL FERGUSON
DIRECTOR
Phone: (912) 536-2239
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.