Victoria Family Practice Clinic, LLC
NPI 1700119997 · Family Medicine Physician · Statesboro, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victoria Family Practice Clinic, LLC is a Family Medicine Physician organization in Statesboro, GA (NPI 1700119997).
Provider details
- NPI number
- 1700119997
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Osaretin Okungbowa, Owner(912) 225-1836
- License
- 062926 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-09-07
- Last updated
- 2012-01-20
Frequently asked questions
- What is Victoria Family Practice Clinic, LLC's NPI number?
- Victoria Family Practice Clinic, LLC's National Provider Identifier (NPI) is 1700119997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victoria Family Practice Clinic, LLC?
- Victoria Family Practice Clinic, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Victoria Family Practice Clinic, LLC located?
- Victoria Family Practice Clinic, LLC's practice location on file with NPPES is 23 Lester Rd, Statesboro, GA 30458-4700.
- What is Victoria Family Practice Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Victoria Family Practice Clinic, LLC is (912) 225-1836.
- Does Victoria Family Practice Clinic, LLC accept Medicare?
- Victoria Family Practice Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victoria Family Practice Clinic, LLC?
- The authorized official listed on Victoria Family Practice Clinic, LLC's NPPES record is Osaretin Okungbowa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victoria Family Practice Clinic, LLC's NPI active?
- Yes — Victoria Family Practice Clinic, LLC's NPI (1700119997) is active in the NPPES registry as of the last update on 2012-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.