OrganizationActive
Vidalia Surgical Associates, LLC
NPI 1124216312 · Specialist · Vidalia, GA
Vidalia Surgical Associates, LLC is a Specialist organization in Vidalia, GA (NPI 1124216312).
Provider details
- NPI number
- 1124216312
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Southeast Regional Care Corporation
- Organization subpart
- Yes
- Authorized official
- Tony Osteen, Cfo(912) 538-5314
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1811 Edwina Dr
Vidalia, GA 30474-8963
Phone: (912) 538-9977
Street-level locationGet directions
Mailing address
Po Box 407
Vidalia, GA 30475-0407
Registry dates
- Enumerated
- 2007-10-12
- Last updated
- 2020-07-10
- Certified
- 2020-07-10
Frequently asked questions
- What is Vidalia Surgical Associates, LLC's NPI number?
- Vidalia Surgical Associates, LLC's National Provider Identifier (NPI) is 1124216312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidalia Surgical Associates, LLC?
- Vidalia Surgical Associates, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Vidalia Surgical Associates, LLC located?
- Vidalia Surgical Associates, LLC's practice location on file with NPPES is 1811 Edwina Dr, Vidalia, GA 30474-8963.
- What is Vidalia Surgical Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidalia Surgical Associates, LLC is (912) 538-9977.
- Who is the authorized official for Vidalia Surgical Associates, LLC?
- The authorized official listed on Vidalia Surgical Associates, LLC's NPPES record is Tony Osteen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidalia Surgical Associates, LLC's NPI active?
- Yes — Vidalia Surgical Associates, LLC's NPI (1124216312) is active in the NPPES registry as of the last update on 2020-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.