Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Smith & Purvis Family Practice Clinic, PC

Organization Family Medicine Physician · NPI 1043384183

Smith & Purvis Family Practice Clinic, PC provides Family Medicine Physician services in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 Northside Dr E Ste 200
Statesboro, GA 30458-4802
Phone: (912) 764-9684
Fax: (912) 489-8676
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18745 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 029847 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 048703 (GA)

Record details

NPI number1043384183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teri Daigneault — Medical Coder · (912) 764-1039
Other names Statesboro Family Practice Clinic
NPI enumeratedNovember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address412 Northside Dr E, Suite 200, Statesboro, GA 30458-4802

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