RESTOR METABOLIX OF VIDALIA
NPI 1952062713
Clinic/Center - Infusion Therapy in Vidalia, GA
About Restor Metabolix Of Vidalia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTOR METABOLIX OF VIDALIA (NPI 1952062713) is a healthcare organization registered as an infusion therapy in Vidalia, Georgia and active in the NPI registry since January 2022. The organization lists Cynthia Holton, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Restor Metabolix Of Vidalia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Restor Metabolix Of Vidalia, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Waiver 11D2270735
Restor Metabolix Of Vidalia · Vidalia, GAFrequently 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 Restore Metabolix Of Vidalia's NPI number?
The NPI number for Restore Metabolix Of Vidalia is 1952062713. It was assigned to this organization in the NPPES registry on January 4, 2022. The provider is doing business as Restor Metabolix Of Vidalia.
Where is Restore Metabolix Of Vidalia located?
Restore Metabolix Of Vidalia is located at 1805 Manning Dr, Vidalia, GA 30474. The listed phone number is (912) 307-2090.
What is Restore Metabolix Of Vidalia's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.
Is Restore Metabolix Of Vidalia enrolled in Medicare?
Yes. Restore Metabolix Of Vidalia is registered in the Medicare PECOS enrollment system.
When is Restore Metabolix Of Vidalia's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Restore Metabolix Of Vidalia?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Restore Metabolix Of Vidalia. 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Restore Metabolix Of Vidalia was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Restor Metabolix Of Vidalia · NPI 1952062713
Infusion Therapy organization in Vidalia, Georgia. Organization record, active in the CMS NPPES registry since January 4, 2022.
## Identity
- **NPI:** 1952062713 (Entity type: Organization)
- **Enumerated:** January 4, 2022
- **Primary specialty:** Clinic/Center - Infusion Therapy · taxonomy 261QI0500X
- **Legal business name:** Restore Metabolix Of Vidalia
- **Organization subpart:** No
- **Authorized official:** Cynthia Holton, OWNER
## Practice location
- **Address:** 1805 MANNING DR, Vidalia, GA 30474-8921
- **Phone:** (912) 307-2090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952062713) · Data from the CMS NPPES public registry.