MEADOWS MEDICAL GROUP PEDIATRICS
NPI 1790288413
Pediatrics in Vidalia, GA

Active since March 09, 2018
125 CHURCH ST, VIDALIA, GA 30474(912) 538-8484 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Meadows Medical Group Pediatrics NPPES

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

MEADOWS MEDICAL GROUP PEDIATRICS (NPI 1790288413) is a healthcare organization registered as a pediatrics in Vidalia, Georgia and active in the NPI registry since March 2018. The organization lists Tony M O'steen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790288413
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Location Address125 CHURCH STVidalia, GA 30474-4770
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 538-8484
Organization SubpartNo
Authorized OfficialTony M O'steenCfo · (912) 535-5560
Enumeration DateMarch 9, 2018
NPI 1790288413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

125 CHURCH ST, Vidalia, GA 30474

Other Names 1

Doing Business AsMeadows Medical Group Pediatrics

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Pediatrics
125 CHURCH ST
VIDALIA, GA 30474
Pediatrics
125 CHURCH ST
VIDALIA, GA 30474
Pediatrics
125 CHURCH ST
VIDALIA, GA 30474
Nurse Practitioner
125 CHURCH ST
VIDALIA, GA 30474
Physician Assistant
125 CHURCH ST
VIDALIA, GA 30474
Nurse Practitioner
125 CHURCH ST
VIDALIA, GA 30474
Pediatrics
125 CHURCH ST
VIDALIA, GA 30474
Pediatrics
125 CHURCH ST
VIDALIA, GA 30474

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790288413, enumerated as an "organization" on March 09, 2018.

The provider is located at 125 CHURCH ST VIDALIA, GA 30474 and the phone number is (912) 538-8484.

Pediatrics with taxonomy code 208000000X.