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SOUTHEAST REGIONAL PRIMAY CARE CORP
NPI 1205078979
Specialist in Vidalia, GA

Active since March 27, 2009
1811 MANNING DR, VIDALIA, GA 30474(912) 537-7674(912) 538-8443 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southeast Regional Primay Care Corp NPPES

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

SOUTHEAST REGIONAL PRIMAY CARE CORP (NPI 1205078979) is a healthcare organization registered as a specialist in Vidalia, Georgia and active in the NPI registry since March 2009. The organization lists Thomas Ferrari, Physician, as its authorized official.

NPPES Registry Identity

NPI1205078979
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVIDALIA FAMILY HEALTH CLINIC LLC
Location Address1811 MANNING DRVidalia, GA 30474-8921
Mailing Address1811 Manning DrVidalia, GA 30474-8921 · (912) 537-7674 · Fax (912) 538-8443
Phone(912) 537-7674
Fax(912) 538-8443
Organization SubpartNo
Authorized OfficialThomas FerrariPhysician · (912) 537-7476
Enumeration DateMarch 27, 2009
✔ NPI 1205078979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · GA034829
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 MANNING DR, Vidalia, GA 30474
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Other Names 1

Doing Business AsSoutheast Regional Primay Care Corp

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

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
SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL
Internal Medicine (Nephrology)
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 535-2554
DR. ROBERT BICKNELL CLARK JR. M.D.,F.A.C.S.
Surgery
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-6344
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 Vidalia Family Health Clinic LLC's NPI number?

The NPI number for Vidalia Family Health Clinic LLC is 1205078979. It was assigned to this organization in the NPPES registry on March 27, 2009. The provider is doing business as Southeast Regional Primay Care Corp.

Where is Vidalia Family Health Clinic LLC located?

Vidalia Family Health Clinic LLC is located at 1811 Manning Dr, Vidalia, GA 30474. The listed phone number is (912) 537-7674.

What is Vidalia Family Health Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Vidalia Family Health Clinic LLC was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.