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SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL
NPI 1104174655
Internal Medicine - Nephrology in Vidalia, GA

Active since August 15, 2012
1811 MANNING DR, VIDALIA, GA 30474(912) 535-2554(912) 535-2558 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Regional Kidney And Hypertension Specialists, Ll NPPES

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

SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL (NPI 1104174655) is a healthcare organization registered as a nephrology in Vidalia, Georgia and active in the NPI registry since August 2012. The organization lists Tony M Osteen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104174655
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL
Location Address1811 MANNING DRVidalia, GA 30474-8921
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 537-4986 · Fax (912) 535-2558
Phone(912) 535-2554
Fax(912) 535-2558
Organization SubpartYesParent: Southeast Regional Primary Care Corporatio
Authorized OfficialTony M OsteenCfo · (912) 538-5314
Enumeration DateAugust 15, 2012
Last NPPES UpdateAugust 25, 2014
✔ NPI 1104174655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1811 MANNING DR, Vidalia, GA 30474
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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

Other Providers at the Same Location NPPES 5

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

DR. RAVI J PATEL MD
General Practice
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-7476
DR. ROBERT BICKNELL CLARK JR. M.D.,F.A.C.S.
Surgery
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-6344
VIDALIA FAMILY HEALTH CLINIC LLC
Specialist
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-7674
RESTORE WELLNESS AND AESTHETICS
General Practice
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 733-4555
CYNTHIA KAYE HOLTON NP-C
Nurse Practitioner (Adult Health)
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 733-4555

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 Kidney And Hypertension Specialists, Ll's NPI number?

The NPI number for Southeast Regional Kidney And Hypertension Specialists, Ll is 1104174655. It was assigned to this organization in the NPPES registry on August 15, 2012.

Where is Southeast Regional Kidney And Hypertension Specialists, Ll located?

Southeast Regional Kidney And Hypertension Specialists, Ll is located at 1811 Manning Dr, Vidalia, GA 30474. The listed phone number is (912) 535-2554.

What is Southeast Regional Kidney And Hypertension Specialists, Ll's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Southeast Regional Kidney And Hypertension Specialists, Ll was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.