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VIDALIA SURGICAL ASSOCIATES, LLC
NPI 1124216312
Specialist in Vidalia, GA

Active since October 12, 2007
1811 EDWINA DR, VIDALIA, GA 30474(912) 538-9977 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2020, Dec 21, 2018, Jun 21, 2018 (3 updates tracked since 2018).

About Vidalia Surgical Associates, Llc NPPES

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

VIDALIA SURGICAL ASSOCIATES, LLC (NPI 1124216312) is a healthcare organization registered as a specialist in Vidalia, Georgia and active in the NPI registry since October 2007. The organization lists Tony M Osteen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124216312
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVIDALIA SURGICAL ASSOCIATES, LLC
Location Address1811 EDWINA DRVidalia, GA 30474-8963
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 538-9977 · Fax (912) 538-0770
Phone(912) 538-9977
Organization SubpartYesParent: Southeast Regional Care Corporation
Authorized OfficialTony M OsteenCfo · (912) 538-5314
Enumeration DateOctober 12, 2007
Last NPPES UpdateJuly 10, 20203 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1124216312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1811 EDWINA DR, Vidalia, GA 30474
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Other Identifiers 1

Medicaid192640864AGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 15

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

NANCY ELWOOD, MD PC
Family Medicine
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-9774
SOUTHEASTERN CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 537-8988
SOUTHEAST GA PRIMARY PREVENT
Family Medicine
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 537-9779
VIDALIA PULMONOLOGY CENTER, LLC
Internal Medicine (Pulmonary Disease)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-8105
JOSEPH G FOUST MD LLC
Family Medicine
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 537-9779
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Internal Medicine (Pulmonary Disease)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-8105
DR. GREGORY NORKUS M.D.
Surgery
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-9977
JOY M DUNN MD
Surgery
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-9977

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 Vidalia Surgical Associates, LLC's NPI number?

The NPI number for Vidalia Surgical Associates, LLC is 1124216312. It was assigned to this organization in the NPPES registry on October 12, 2007.

Where is Vidalia Surgical Associates, LLC located?

Vidalia Surgical Associates, LLC is located at 1811 Edwina Dr, Vidalia, GA 30474. The listed phone number is (912) 538-9977.

What is Vidalia Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Vidalia Surgical Associates, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vidalia Surgical Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vidalia Surgical Associates, LLC was last updated on July 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.