MEDICARE: STATCARE GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1760097539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATCARE GROUP LLC

Provider Business Mailing Address
First Line	:	1275 HIGHWAY 54 W STE 201
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4538
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11804 REISTERSTOWN RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-3311
Country	:	US
Telephone Number	:	410-870-5094
Fax Number	:	410-870-8076

Authorized Official
Title or Position	:	DIRECTOR OF BILLING OPERATIONS
Name	:	SHANDI FAULK
Credential	:
Telephone Number	:	678-679-6471

Provider Enumeration Date	:	09/09/2020
Last Update Date	:	09/09/2020

Similar Medicare Providers

1598435059 — CRH MD MANAGEMENT LLC
Practice Location Address:

11804 REISTERSTOWN RD
REISTERSTOWN, MD
21136-3311

Practice Phone: 410-870-5094
Practice Fax: 410-870-8076

1841772589 — STATCARE GROUP, LLC
Practice Location Address:

11804 REISTERSTOWN RD
REISTERSTOWN, MD
21136-3311

Practice Phone: 410-753-4841
Practice Fax:

1598433385 — NICHOLAS ADAM JABCO
Practice Location Address:

11804 REISTERSTOWN RD
REISTERSTOWN, MD
21136-3311

Practice Phone: 410-870-5094
Practice Fax:

1972246213 — SAVANNAH ALEXANDRA KINLOCK
Practice Location Address:

11804 REISTERSTOWN RD
REISTERSTOWN, MD
21136-3311

Practice Phone: 718-809-7494
Practice Fax:

1447055041 — THE RIGHT HANDS COUNSELING LLC
Practice Location Address:

11620 REISTERSTOWN RD STE 835
REISTERSTOWN, MD
21136-3702

Practice Phone: 202-948-8492
Practice Fax:

1295738284 — A & A MEDICAL SUPPLY COMPANY
Practice Location Address:

146 CHARTLEY DR , STE 100
REISTERSTOWN, MD
21136-2331

Practice Phone: 410-526-9323
Practice Fax: 410-526-3375

Directions to “STATCARE GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.