SOUTHEAST REGIONAL PRIMARY CARE CORP
NPI 1134367550
Orthopaedic Surgery in Vidalia, GA

NPI Status: Active since January 22, 2009

Contact Information

1707 MEADOWS LN
SUITE H
VIDALIA, GA
ZIP 30474
Phone: (912) 538-0040
Fax: (912) 538-8133

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  • Organization
  • Orthopaedic Surgery

About SOUTHEAST REGIONAL PRIMARY CARE CORP

This page provides the complete NPI Profile along with additional information for Southeast Regional Primary Care Corp, a provider established in Vidalia, Georgia operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1134367550 assigned on January 2009. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Southeast Regional Primary Care Corp. The authorized official of this NPI record is Tony M Osteen (Cfo)

NPI
1134367550
Provider Legal Name
VIDALIA ORTHOPEDIC CENTER, LLC
Other Organization Name
SOUTHEAST REGIONAL PRIMARY CARE CORP
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1707 MEADOWS LN SUITE H VIDALIA, GA 30474
Location Phone
(912) 538-0040
Location Fax
(912) 538-8133
Mailing Address
PO BOX 407 VIDALIA, GA 30475
Mailing Phone
(912) 538-0040
Mailing Fax
(912) 538-8133
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-22-2009
Last Update Date
06-12-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONY M OSTEEN

Authorized Official Title
CFO
Authorized Official Phone
(912) 538-5314

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
333690169BMEDICAID (05)GA 
202G704750MEDICARE PIN (08)GA 
489633273AMEDICAID (05)GA 
333690169CMEDICAID (05)GA 

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134367550, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 6 + 6 + 1 + 4 + 5 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1134367550.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
1707 MEADOWS LN, SUITE E
VIDALIA, GA 30474
Internal Medicine (Hematology & Oncology)
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474
Otolaryngology
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474
Physician Assistant
1707 MEADOWS LN, SUITE H
VIDALIA, GA 30474
Nurse Practitioner
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134367550, enumerated as an "organization" on January 22, 2009.

The provider is located at 1707 MEADOWS LN SUITE H VIDALIA, GA 30474 and the phone number is (912) 538-0040.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.