Misty D. Poole, MD, LLC
NPI 1003176546 · Internal Medicine Physician · Vidalia, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Misty D. Poole, MD, LLC is a Internal Medicine Physician organization in Vidalia, GA (NPI 1003176546).
Provider details
- NPI number
- 1003176546
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Misty Poole, Owner(912) 537-2200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vidalia Internal Medicine
Registry dates
- Enumerated
- 2012-05-17
- Last updated
- 2015-10-09
Frequently asked questions
- What is Misty D. Poole, MD, LLC's NPI number?
- Misty D. Poole, MD, LLC's National Provider Identifier (NPI) is 1003176546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Misty D. Poole, MD, LLC?
- Misty D. Poole, MD, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Misty D. Poole, MD, LLC located?
- Misty D. Poole, MD, LLC's practice location on file with NPPES is 210 Mose Coleman Dr, Vidalia, GA 30474-8677.
- What is Misty D. Poole, MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Misty D. Poole, MD, LLC is (912) 537-2200.
- Does Misty D. Poole, MD, LLC accept Medicare?
- Misty D. Poole, MD, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Misty D. Poole, MD, LLC?
- The authorized official listed on Misty D. Poole, MD, LLC's NPPES record is Misty Poole, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Misty D. Poole, MD, LLC's NPI active?
- Yes — Misty D. Poole, MD, LLC's NPI (1003176546) is active in the NPPES registry as of the last update on 2015-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.