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VIDALIA MEDICAL ASSOCIATES, PC
NPI 1740450097
Internal Medicine in Vidalia, GA

Active since March 03, 2008CLIA 11D0663100 · Certificate of Compliance
200 MAPLE DR, VIDALIA, GA 30474(912) 537-9851(912) 537-9843 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vidalia Medical Associates, Pc NPPES

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

VIDALIA MEDICAL ASSOCIATES, PC (NPI 1740450097) is a healthcare organization registered as an internal medicine in Vidalia, Georgia and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 22, 2028 and lists Tammy T Thompson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740450097
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVIDALIA MEDICAL ASSOCIATES, PC
Location Address200 MAPLE DRVidalia, GA 30474-8907
Mailing AddressPo Box 1367Vidalia, GA 30475-1367 · (912) 537-9851 · Fax (912) 537-9843
Phone(912) 537-9851
Fax(912) 537-9843
Organization SubpartNo
Authorized OfficialTammy T ThompsonAdministrator · (912) 537-9851
Enumeration DateMarch 3, 2008
✔ NPI 1740450097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
200 MAPLE DR, Vidalia, GA 30474
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vidalia Medical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vidalia Medical Associates, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

James Barber, M. D.
Internal Medicine
NPI 1982698346
200 MAPLE DR
Vidalia, GA 30474
(912) 537-9851
✔ PECOS✔ Accepts MedicareSame address
Ronnie Smith, M. D.
Internal Medicine
NPI 1669465670
200 MAPLE DR
Vidalia, GA 30474
(912) 537-9851
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 11D0663100

Vidalia Medical Associates · Vidalia, GA
Active · expires Aug 22, 2028
CLIA Number11D0663100
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2026
Certificate Expiration DateAugust 22, 2028
Laboratory DirectorRonnie R. Smith
Laboratory Phone(912) 537-9851
Laboratory LocationVidalia Medical Associates200 Maple Drive, Vidalia, GA 30474
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Vidalia Medical Associates, PC's NPI number?

The NPI number for Vidalia Medical Associates, PC is 1740450097. It was assigned to this organization in the NPPES registry on March 3, 2008.

Where is Vidalia Medical Associates, PC located?

Vidalia Medical Associates, PC is located at 200 Maple Dr, Vidalia, GA 30474. The listed phone number is (912) 537-9851.

What is Vidalia Medical Associates, PC's specialty?

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

Is Vidalia Medical Associates, PC enrolled in Medicare?

Yes. Vidalia Medical Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vidalia Medical Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Vidalia Medical Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vidalia Medical Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0663100) is associated with this NPI, valid through August 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vidalia Medical Associates, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vidalia Medical Associates, PC 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 Vidalia Medical Associates, PC was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.