VIDALIA UROLOGY ASSOCIATES, LLC
NPI 1124284088
Specialist in Vidalia, GA

Active since July 31, 2008
1707 MEADOWS LN STE F, VIDALIA, GA 30474(912) 537-9481 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2020, Sep 25, 2018 (2 updates tracked since 2018).

About Vidalia Urology Associates, Llc NPPES

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

VIDALIA UROLOGY ASSOCIATES, LLC (NPI 1124284088) is a healthcare organization registered as a specialist in Vidalia, Georgia and active in the NPI registry since July 2008. The organization lists Tony M Osteen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124284088
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVIDALIA UROLOGY ASSOCIATES, LLC
Location Address1707 MEADOWS LN STE FVidalia, GA 30474-7201
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 537-9481 · Fax (912) 537-1380
Organization SubpartYesParent: Southeast Regional Primary Care Corporation
Authorized OfficialTony M OsteenCfo · (912) 538-5314
Enumeration DateJuly 31, 2008
Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
NPI 1124284088 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.
1707 MEADOWS LN STE F, Vidalia, GA 30474

Other Identifiers 1

Other511G700994GA · Medicare

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

Other Providers at the Same Location NPPES 2

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

Urology
1707 MEADOWS LN STE F
VIDALIA, GA 30474
Nurse Practitioner (Family)
1707 MEADOWS LN STE F
VIDALIA, GA 30474

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 Urology Associates, LLC's NPI number?

The NPI number for Vidalia Urology Associates, LLC is 1124284088. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is Vidalia Urology Associates, LLC located?

Vidalia Urology Associates, LLC is located at 1707 Meadows Ln Ste F, Vidalia, GA 30474. The listed phone number is (912) 537-9481.

What is Vidalia Urology Associates, LLC's specialty?

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

What insurance does Vidalia Urology 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 Urology 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 Urology Associates, LLC was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.