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MEADOWS MEDICAL GROUP UROLOGY
NPI 1053814434
Urology in Vidalia, GA

Active since March 13, 2018
303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 30474(912) 537-9481 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meadows Medical Group Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADOWS MEDICAL GROUP UROLOGY (NPI 1053814434) is a healthcare organization registered as an urology in Vidalia, Georgia and active in the NPI registry since March 2018. The organization lists Tony M O'steen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053814434
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Location Address303 HARRIS INDUSTRIAL BLVD STE 5Vidalia, GA 30474-8854
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 537-9481
Phone(912) 537-9481
Organization SubpartNo
Authorized OfficialTony M O'steenCfo · (912) 535-5560
Enumeration DateMarch 13, 2018
✔ NPI 1053814434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
303 HARRIS INDUSTRIAL BLVD STE 5, Vidalia, GA 30474
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Other Names 1

Doing Business AsMeadows Medical Group Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL HARTLEY
Nurse Practitioner
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474
Toombs County (912) 535-7000
KAYLA EDWARDS CCC-SLP
Speech-Language Pathologist
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474
Toombs County (912) 331-0846
TIMOTHY JUSTIN OSBORNE M.D.
Emergency Medicine
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474
Toombs County (912) 535-7000
CIARA HAUGABROOK NP
Nurse Practitioner
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474
Toombs County (912) 535-7000
COLLEEN MARIE KERRIGAN PA
Physician Assistant
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474
Toombs County (770) 710-6712
PAIGE COLLINS OTR/L
Occupational Therapist
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474
Toombs County (912) 331-0846
MR. STEVEN MICHAEL LASHLEY FNP
Nurse Practitioner
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474
Toombs County (912) 535-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Regional Primary Care Corporation's NPI number?

The NPI number for Southeast Regional Primary Care Corporation is 1053814434. It was assigned to this organization in the NPPES registry on March 13, 2018. The provider is doing business as Meadows Medical Group Urology.

Where is Southeast Regional Primary Care Corporation located?

Southeast Regional Primary Care Corporation is located at 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474. The listed phone number is (912) 537-9481.

What is Southeast Regional Primary Care Corporation's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Southeast Regional Primary Care Corporation was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.