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MEADOWS MEDICAL GROUP CARDIOLOGY
NPI 1336642719
Internal Medicine - Cardiovascular Disease in Vidalia, GA

Active since March 13, 2018
101 HARRIS INDUSTRIAL BLVD STE A, VIDALIA, GA 30474(912) 535-3500 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meadows Medical Group Cardiology NPPES

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

MEADOWS MEDICAL GROUP CARDIOLOGY (NPI 1336642719) is a healthcare organization registered as a cardiovascular disease in Vidalia, Georgia and active in the NPI registry since March 2018. The organization lists Tony M O'steen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336642719
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Location Address101 HARRIS INDUSTRIAL BLVD STE AVidalia, GA 30474-8852
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 535-3500
Phone(912) 535-3500
Organization SubpartNo
Authorized OfficialTony M O'steenCfo · (912) 535-5560
Enumeration DateMarch 13, 2018
✔ NPI 1336642719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
101 HARRIS INDUSTRIAL BLVD STE A, Vidalia, GA 30474
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Other Names 1

Doing Business AsMeadows Medical Group Cardiology

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 MULTIPLE SINGLE 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.

PATE HOWELL APRN
Nurse Practitioner
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474
Toombs County (912) 535-3500
DR. MARTHA SMITH MD
Internal Medicine (Cardiovascular Disease)
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474
Toombs County (912) 535-3500
MARLA KRISTEN MIKELL FNP-C
Nurse Practitioner
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474
Toombs County (912) 535-3500
ALBERT A BURTON M.D.
Internal Medicine (Interventional Cardiology)
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474
Toombs County (912) 535-3500
TERRA HARDEMAN FNP
Nurse Practitioner
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474
Toombs County (912) 535-3500

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 Southeast Regional Primary Care Corporation's NPI number?

The NPI number for Southeast Regional Primary Care Corporation is 1336642719. It was assigned to this organization in the NPPES registry on March 13, 2018. The provider is doing business as Meadows Medical Group Cardiology.

Where is Southeast Regional Primary Care Corporation located?

Southeast Regional Primary Care Corporation is located at 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474. The listed phone number is (912) 535-3500.

What is Southeast Regional Primary Care Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Southeast Regional Primary Care Corporation was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.