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SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC
NPI 1740503440
Internal Medicine - Interventional Cardiology in Vidalia, GA

Active since March 09, 2010
101 HARRIS INDUSTRIAL BLVD, SUITE A, VIDALIA, GA 30474(912) 535-3500(912) 535-4498 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Regional Cardiac And Vascular Institute, Llc NPPES

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

SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC (NPI 1740503440) is a healthcare organization registered as an interventional cardiology in Vidalia, Georgia and active in the NPI registry since March 2010. The organization maintains 2 additional practice locations and lists Tony M Osteen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740503440
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameSOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC
Location Address101 HARRIS INDUSTRIAL BLVD, SUITE AVidalia, GA 30474-8852
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 535-3500 · Fax (912) 535-4498
Phone(912) 535-3500
Fax(912) 535-4498
Organization SubpartYesParent: Southeast Regional Primary Care Corporation
Authorized OfficialTony M OsteenCfo · (912) 537-5314
Enumeration DateMarch 9, 2010
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1740503440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in GA · 65260
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
101 HARRIS INDUSTRIAL BLVD, Vidalia, GA 30474
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Secondary Practice Locations 2

Location 111 Cross StHazlehurst, GA 31539-6427 · Phone (912) 535-3500
Location 2195 E Tollison St Ste A-BBaxley, GA 31513-0172 · Phone (912) 535-3500

Other Identifiers 1

Medicaid489617065AGA

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 ›

Other Providers at the Same Location NPPES 20

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

DR. HUBERT MCCRARY SUBER MD
Obstetrics & Gynecology
101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474
Toombs County (912) 537-1014
ANGELIA KRONTZ ATTAWAY CNM
Advanced Practice Midwife
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 537-1014
DR. JOHN V SPENCE M.D.
Emergency Medicine (Undersea and Hyperbaric Medicine)
101 HARRIS INDUSTRIAL BLVD, SUITE E
VIDALIA, GA 30474
Toombs County (770) 309-6636
MARY W BENNETT ATC, LAT
Specialist/Technologist (Athletic Trainer)
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2035
MRS. MARGARET FAIRLEY WOOD CCC/SLP
Speech-Language Pathologist
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2044
MEADOWS REGIONAL MEDICAL CENTER
Specialist/Technologist (Athletic Trainer)
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2035
CAROLYN CABE
Nurse Practitioner (Women's Health)
101 HARRIS INDUSTRIAL BLVD, STE C
VIDALIA, GA 30474
Toombs County (912) 537-1014
DR. KAREN JOAN MCCOLL M.D.
Obstetrics & Gynecology (Gynecology)
101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474
Toombs County (912) 537-1014

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 Cardiac And Vascular Institute, LLC's NPI number?

The NPI number for Southeast Regional Cardiac And Vascular Institute, LLC is 1740503440. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Southeast Regional Cardiac And Vascular Institute, LLC located?

Southeast Regional Cardiac And Vascular Institute, LLC is located at 101 Harris Industrial Blvd Suite A, Vidalia, GA 30474. The listed phone number is (912) 535-3500.

What is Southeast Regional Cardiac And Vascular Institute, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

What insurance does Southeast Regional Cardiac And Vascular Institute, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southeast Regional Cardiac And Vascular Institute, LLC 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 Southeast Regional Cardiac And Vascular Institute, LLC was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.