VIDALIA PEDIATRIC CLINIC
NPI 1710043237
Pediatrics in Vidalia, GA

Q: What is Vpc, Inc.'s NPI number?

The NPI number for Vpc, Inc. is 1710043237. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Vidalia Pediatric Clinic.

Q: What is Vpc, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Vpc, Inc. was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since December 29, 2006CLIA 11D1009382 · Waiver

303 HARRIS INDUSTRIAL BLVD., STE 3, VIDALIA, GA 30474(912) 537-9355(912) 373-8096 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vidalia Pediatric Clinic NPPES

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

VIDALIA PEDIATRIC CLINIC (NPI 1710043237) is a healthcare organization registered as a pediatrics in Vidalia, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Carson Hugh Smith, C.o.o./co-owner, as its authorized official.

NPPES Registry Identity

NPI1710043237

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameVPC, INC.

Location Address303 HARRIS INDUSTRIAL BLVD., STE 3Vidalia, GA 30474-8854

Mailing Address303 Harris Industrial Blvd., Ste 3Vidalia, GA 30474-8854 · (912) 537-9355 · Fax (912) 373-8096

Phone(912) 537-9355

Fax(912) 373-8096

Organization SubpartNo

Authorized OfficialCarson Hugh SmithC.o.o./co-owner · (912) 537-9355

Enumeration DateDecember 29, 2006

Last NPPES UpdateOctober 18, 2024

✔ NPI 1710043237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

303 HARRIS INDUSTRIAL BLVD., Vidalia, GA 30474

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Other Names 1

Doing Business AsVidalia Pediatric Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1009382

Vpc Incorporate Dba Vidalia Pediatric Clinic · Vidalia, GA

Active · expires Apr 14, 2028

CLIA Number11D1009382

Laboratory TypePhysician Office

Certificate Effective DateApril 15, 2026

Certificate Expiration DateApril 14, 2028

Laboratory DirectorDr. Etta W. Boss - Cole

Laboratory Phone(912) 537-9355

Laboratory LocationVpc Incorporate Dba Vidalia Pediatric Clinic303 Harris Industrial Boulevard, Suite 3, Vidalia, GA 30474

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. RONALD B. YANCEY O.D.

Optometrist

303 HARRIS INDUSTRIAL BLVD., SUITE 7
VIDALIA, GA 30474

Toombs County (912) 537-4400

GILBERT J. GONZALEZ, M.D., LLC

Urology

303 HARRIS INDUSTRIAL BLVD., SUITE 5
VIDALIA, GA 30474

Toombs County (912) 537-9481

RONALD B. YANCEY, P.C.

Optometrist

303 HARRIS INDUSTRIAL BLVD., SUITE 7
VIDALIA, GA 30474

Toombs County (912) 537-4400

TOTS TO TEENS MEDICAL CENTER

Pediatrics

303 HARRIS INDUSTRIAL BLVD., SUITE 1
VIDALIA, GA 30474

Toombs County (912) 537-9991

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 Vpc, Inc.'s NPI number?

The NPI number for Vpc, Inc. is 1710043237. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Vidalia Pediatric Clinic.

Where is Vpc, Inc. located?

Vpc, Inc. is located at 303 Harris Industrial Blvd. Ste 3, Vidalia, GA 30474. The listed phone number is (912) 537-9355.

What is Vpc, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Vpc, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1009382) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vpc, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vpc, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vpc, Inc. was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.