Vidalia Family Care LLC
NPI 1114733250 · Primary Care Clinic/Center · Vidalia, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vidalia Family Care LLC is a Primary Care Clinic/Center organization in Vidalia, GA (NPI 1114733250).
Provider details
- NPI number
- 1114733250
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Derrick, Ceo(912) 293-3308
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-12-04
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Frequently asked questions
- What is Vidalia Family Care LLC's NPI number?
- Vidalia Family Care LLC's National Provider Identifier (NPI) is 1114733250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidalia Family Care LLC?
- Vidalia Family Care LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vidalia Family Care LLC located?
- Vidalia Family Care LLC's practice location on file with NPPES is 1702 Meadows Ln, Vidalia, GA 30474-7219.
- What is Vidalia Family Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidalia Family Care LLC is (912) 805-2198.
- Does Vidalia Family Care LLC accept Medicare?
- Vidalia Family Care 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 Vidalia Family Care LLC?
- The authorized official listed on Vidalia Family Care LLC's NPPES record is John Derrick, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidalia Family Care LLC's NPI active?
- Yes — Vidalia Family Care LLC's NPI (1114733250) is active in the NPPES registry as of the last update on 2024-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.