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MEADOWS MEDICAL GROUP INTERNAL MEDICINE
NPI 1063914851
Internal Medicine in Vidalia, GA

Active since March 07, 2018
621 E 1ST ST STE B, VIDALIA, GA 30474(912) 535-5120 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2018, Mar 7, 2018 (2 updates tracked since 2018).

About Meadows Medical Group Internal Medicine NPPES

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

MEADOWS MEDICAL GROUP INTERNAL MEDICINE (NPI 1063914851) is a healthcare organization registered as an internal medicine 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

NPI1063914851
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Location Address621 E 1ST ST STE BVidalia, GA 30474-4264
Mailing AddressPo Box 407Vidalia, GA 30475-0407
Phone(912) 535-5120
Organization SubpartNo
Authorized OfficialTony M O'steenCfo · (912) 535-5560
Enumeration DateMarch 7, 2018
Last NPPES UpdateDecember 21, 20182 updates tracked since enumeration
✔ NPI 1063914851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
621 E 1ST ST STE B, Vidalia, GA 30474
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Other Names 1

Doing Business AsMeadows Medical Group Internal Medicine

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 SINGLE SPECIALTY GROUP

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 1063914851. It was assigned to this organization in the NPPES registry on March 7, 2018. The provider is doing business as Meadows Medical Group Internal Medicine.

Where is Southeast Regional Primary Care Corporation located?

Southeast Regional Primary Care Corporation is located at 621 E 1st St Ste B, Vidalia, GA 30474. The listed phone number is (912) 535-5120.

What is Southeast Regional Primary Care Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southeast Regional Primary Care Corporation was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.