Southeast Regional Kidney and Hypertension Specialists, Ll
NPI 1104174655 · Nephrology Physician · Vidalia, GA
Southeast Regional Kidney and Hypertension Specialists, Ll is a Nephrology Physician organization in Vidalia, GA (NPI 1104174655).
Provider details
- NPI number
- 1104174655
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southeast Regional Primary Care Corporatio
- Organization subpart
- Yes
- Authorized official
- Tony Osteen, Cfo(912) 538-5314
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
13 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
Registry dates
- Enumerated
- 2012-08-15
- Last updated
- 2014-08-25
Frequently asked questions
- What is Southeast Regional Kidney and Hypertension Specialists, Ll's NPI number?
- Southeast Regional Kidney and Hypertension Specialists, Ll's National Provider Identifier (NPI) is 1104174655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Regional Kidney and Hypertension Specialists, Ll?
- Southeast Regional Kidney and Hypertension Specialists, Ll is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Regional Kidney and Hypertension Specialists, Ll located?
- Southeast Regional Kidney and Hypertension Specialists, Ll's practice location on file with NPPES is 1811 Manning Dr, Vidalia, GA 30474-8921.
- What is Southeast Regional Kidney and Hypertension Specialists, Ll's phone number?
- The practice phone number listed in the NPPES registry for Southeast Regional Kidney and Hypertension Specialists, Ll is (912) 535-2554.
- Who is the authorized official for Southeast Regional Kidney and Hypertension Specialists, Ll?
- The authorized official listed on Southeast Regional Kidney and Hypertension Specialists, Ll's NPPES record is Tony Osteen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Regional Kidney and Hypertension Specialists, Ll's NPI active?
- Yes — Southeast Regional Kidney and Hypertension Specialists, Ll's NPI (1104174655) is active in the NPPES registry as of the last update on 2014-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.