OrganizationActive
Vidalia Family Health Clinic LLC
NPI 1205078979 · Specialist · Vidalia, GA
Vidalia Family Health Clinic LLC is a Specialist organization in Vidalia, GA (NPI 1205078979).
Provider details
- NPI number
- 1205078979
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Thomas Ferrari, Physician(912) 537-7476
- License
- GA034829 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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 Manning Dr
Vidalia, GA 30474-8921
Phone: (912) 537-7674
Fax: (912) 538-8443
Street-level locationGet directions
Mailing address
1811 Manning Dr
Vidalia, GA 30474-8921
Other names (DBA / former)
- Doing business as
- Southeast Regional Primay Care Corp
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2009-03-27
Frequently asked questions
- What is Vidalia Family Health Clinic LLC's NPI number?
- Vidalia Family Health Clinic LLC's National Provider Identifier (NPI) is 1205078979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidalia Family Health Clinic LLC?
- Vidalia Family Health Clinic LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Vidalia Family Health Clinic LLC located?
- Vidalia Family Health Clinic LLC's practice location on file with NPPES is 1811 Manning Dr, Vidalia, GA 30474-8921.
- What is Vidalia Family Health Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidalia Family Health Clinic LLC is (912) 537-7674.
- Who is the authorized official for Vidalia Family Health Clinic LLC?
- The authorized official listed on Vidalia Family Health Clinic LLC's NPPES record is Thomas Ferrari, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidalia Family Health Clinic LLC's NPI active?
- Yes — Vidalia Family Health Clinic LLC's NPI (1205078979) is active in the NPPES registry as of the last update on 2009-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.