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VIDALIA PULMONOLOGY CENTER, LLC
NPI 1194985093
Internal Medicine - Pulmonary Disease in Vidalia, GA

Active since June 13, 2008
1811 EDWINA DR, VIDALIA, GA 30474(912) 538-8105(912) 538-8109 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vidalia Pulmonology Center, Llc NPPES

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

VIDALIA PULMONOLOGY CENTER, LLC (NPI 1194985093) is a healthcare organization registered as a pulmonary disease in Vidalia, Georgia and active in the NPI registry since June 2008. The organization lists Tony M O'steen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194985093
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameVIDALIA PULMONOLOGY CENTER, LLC
Location Address1811 EDWINA DRVidalia, GA 30474-8963
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 538-8105 · Fax (912) 538-8109
Phone(912) 538-8105
Fax(912) 538-8109
Organization SubpartYesParent: Southeast Regional Primary Care Corporation
Authorized OfficialTony M O'steenCfo · (912) 538-5314
Enumeration DateJune 13, 2008
Last NPPES UpdateMay 29, 2014
✔ NPI 1194985093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
1811 EDWINA DR, Vidalia, GA 30474
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

VIDALIA SURGICAL ASSOCIATES, LLC
Specialist
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-9977
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
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
MARK HOERMAN MD
Internal Medicine (Pulmonary Disease)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-8105
SOUTHEASTERN CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 537-8988
DR. KURT PATRICK HOFMANN M.D.
Surgery
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-9977
ASHLEY NASWORTHY
Nurse Practitioner (Family)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-8105
ROBERT SCANLON DO
Internal Medicine (Pulmonary Disease)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-8105

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 Pulmonology Center, LLC's NPI number?

The NPI number for Vidalia Pulmonology Center, LLC is 1194985093. It was assigned to this organization in the NPPES registry on June 13, 2008.

Where is Vidalia Pulmonology Center, LLC located?

Vidalia Pulmonology Center, LLC is located at 1811 Edwina Dr, Vidalia, GA 30474. The listed phone number is (912) 538-8105.

What is Vidalia Pulmonology Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

What insurance does Vidalia Pulmonology Center, 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 Pulmonology Center, 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 Pulmonology Center, LLC was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.