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SOUTHEASTERN CARDIOLOGY
NPI 1396944633
Internal Medicine - Cardiovascular Disease in Vidalia, GA

Active since July 17, 2007
1811 EDWINA DR, VIDALIA, GA 30474(912) 537-8988(912) 608-8037 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Cardiology NPPES

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

SOUTHEASTERN CARDIOLOGY (NPI 1396944633) is a healthcare organization registered as a cardiovascular disease in Vidalia, Georgia and active in the NPI registry since July 2007. The organization lists Deborah Grace Elliott-smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396944633
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHEASTERN CARDIOLOGY
Location Address1811 EDWINA DRVidalia, GA 30474-8963
Mailing Address1811 Edwina DrVidalia, GA 30474-8963 · (912) 537-8988 · Fax (912) 608-8037
Phone(912) 537-8988
Fax(912) 608-8037
Organization SubpartNo
Authorized OfficialDeborah Grace Elliott-smithPractice Manager · (912) 537-8988
Enumeration DateJuly 17, 2007
✔ NPI 1396944633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 53388
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.
1811 EDWINA DR, Vidalia, GA 30474
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Other Identifiers 1

Medicare UPINE75547

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

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
VIDALIA PULMONOLOGY CENTER, LLC
Internal Medicine (Pulmonary Disease)
1811 EDWINA DR
VIDALIA, GA 30474
Toombs County (912) 538-8105
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
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 Southeastern Cardiology's NPI number?

The NPI number for Southeastern Cardiology is 1396944633. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Southeastern Cardiology located?

Southeastern Cardiology is located at 1811 Edwina Dr, Vidalia, GA 30474. The listed phone number is (912) 537-8988.

What is Southeastern Cardiology'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 Southeastern Cardiology was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.