SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
NPI 1467568907
Clinic/Center - Multi-Specialty in Vidalia, GA

Q: What is Southeast Regional Primary Care Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since August 21, 2006

ONE MEADOWS PARKWAY, VIDALIA, GA 30474(912) 535-3011(912) 537-5366 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2019, Feb 7, 2019, Dec 21, 2018 and 4 more (7 updates tracked since 2017).

On this page

About Southeast Regional Primary Care Corporation NPPES

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

SOUTHEAST REGIONAL PRIMARY CARE CORPORATION (NPI 1467568907) is a healthcare organization registered as a multi-specialty in Vidalia, Georgia and active in the NPI registry since August 2006. The organization maintains 4 additional practice locations and lists Tony M Osteen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467568907

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameSOUTHEAST REGIONAL PRIMARY CARE CORPORATION

Location AddressONE MEADOWS PARKWAYVidalia, GA 30474-8921

Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 535-3011 · Fax (912) 538-5529

Phone(912) 535-3011

Fax(912) 537-5366

Organization SubpartNo

Authorized OfficialTony M OsteenCfo · (912) 535-8691

Enumeration DateAugust 21, 2006

Last NPPES UpdateMarch 13, 20197 updates tracked since enumeration

✔ NPI 1467568907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X

ONE MEADOWS PARKWAY, Vidalia, GA 30474

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1621 E 1st St Ste BVidalia, GA 30474-4264 · Phone (912) 535-5555

Location 21707 Meadows Ln Ste BVidalia, GA 30474-7201 · Phone (912) 535-7100 · Fax (912) 535-7120

Location 31525 Fair Rd Ste 105AStatesboro, GA 30458-6118 · Phone (800) 207-0008 · Fax (912) 538-5592

Location 4303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854 · Phone (912) 535-7000 · Fax (912) 535-7020

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK J. BYRNE MD

Specialist

ONE MEADOWS PARKWAY, MEADOWS REGIONAL MEDICAL CENTER
VIDALIA, GA 30474

Toombs County (912) 538-7777

DR. DARREN WILLIAM BROW MD

Student in an Organized Health Care Education/Training Program

ONE MEADOWS PARKWAY
VIDALIA, GA 30474

Toombs County (912) 535-5770

MEADOWS REGIONAL MEDICAL CENTER INC

General Acute Care Hospital

ONE MEADOWS PARKWAY
VIDALIA, GA 30474

Toombs County (912) 535-5555

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 1467568907. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Southeast Regional Primary Care Corporation located?

Southeast Regional Primary Care Corporation is located at One Meadows Parkway, Vidalia, GA 30474. The listed phone number is (912) 535-3011.

What is Southeast Regional Primary Care Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Southeast Regional Primary Care Corporation was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.