Southeast Regional Primary Care Corporation
NPI 1336642719 · Cardiovascular Disease Physician · Vidalia, GA
Southeast Regional Primary Care Corporation is a Cardiovascular Disease Physician organization in Vidalia, GA (NPI 1336642719).
Provider details
- NPI number
- 1336642719
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tony O'Steen, Cfo(912) 535-5560
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
8 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
- Meadows Medical Group Cardiology
Registry dates
- Enumerated
- 2018-03-13
- Last updated
- 2018-03-13
Frequently asked questions
- What is Southeast Regional Primary Care Corporation's NPI number?
- Southeast Regional Primary Care Corporation's National Provider Identifier (NPI) is 1336642719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Regional Primary Care Corporation?
- Southeast Regional Primary Care Corporation is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Regional Primary Care Corporation located?
- Southeast Regional Primary Care Corporation's practice location on file with NPPES is 101 Harris Industrial Blvd Ste a, Vidalia, GA 30474-8852.
- What is Southeast Regional Primary Care Corporation's phone number?
- The practice phone number listed in the NPPES registry for Southeast Regional Primary Care Corporation is (912) 535-3500.
- Who is the authorized official for Southeast Regional Primary Care Corporation?
- The authorized official listed on Southeast Regional Primary Care Corporation's NPPES record is Tony O'Steen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Regional Primary Care Corporation's NPI active?
- Yes — Southeast Regional Primary Care Corporation's NPI (1336642719) is active in the NPPES registry as of the last update on 2018-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.