SOUTHEASTERN CARDIOVASCULAR IMG, INC.
NPI 1528264629
Internal Medicine in Vidalia, GA

Active since June 25, 2007
1006A MOUNT VERNON RD, VIDALIA, GA 30474(912) 537-9826(912) 537-2182 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southeastern Cardiovascular Img, Inc. NPPES

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

SOUTHEASTERN CARDIOVASCULAR IMG, INC. (NPI 1528264629) is a healthcare organization registered as an internal medicine in Vidalia, Georgia and active in the NPI registry since June 2007. The organization lists David H Paine, Md, as its authorized official.

NPPES Registry Identity

NPI1528264629
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEASTERN CARDIOVASCULAR IMG, INC.
Location Address1006A MOUNT VERNON RDVidalia, GA 30474-3029
Mailing Address1006a Mount Vernon RdVidalia, GA 30474-3029 · (912) 537-9826 · Fax (912) 537-2182
Fax(912) 537-2182
Organization SubpartNo
Authorized OfficialDavid H PaineMd · (912) 537-9826
Enumeration DateJune 25, 2007
Last NPPES UpdateJanuary 5, 2010
NPI 1528264629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 028618
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1006A MOUNT VERNON RD, Vidalia, GA 30474

Other Identifiers 3

Medicare UPIND30411GA
Medicaid000327346DGA
Medicare PINGRP2455GA

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

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 Cardiovascular Img, Inc.'s NPI number?

The NPI number for Southeastern Cardiovascular Img, Inc. is 1528264629. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Southeastern Cardiovascular Img, Inc. located?

Southeastern Cardiovascular Img, Inc. is located at 1006A Mount Vernon Rd, Vidalia, GA 30474. The listed phone number is (912) 537-9826.

What is Southeastern Cardiovascular Img, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Cardiovascular Img, Inc. was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.