Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Statham Family Practice PC

Organization Family Medicine Physician · NPI 1689857195

Statham Family Practice PC provides Family Medicine Physician services in Statham, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

1906 Railroad St Ste C
Statham, GA 30666 Not confirmed with CMS for 17 years — call before visiting
Phone: (678) 753-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 056051 (GA)

Record details

NPI number1689857195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Durocher — President · (678) 753-1122
NPI enumeratedDecember 7, 2007
Last updated in NPPESFebruary 26, 2009
Mailing address1906 Railroad St, Suite C, Statham, GA 30666

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