Southeast Regional Primary Care Corporation
NPI 1467568907 · Multi-Specialty Clinic/Center · Vidalia, GA
Southeast Regional Primary Care Corporation is a Multi-Specialty Clinic/Center organization in Vidalia, GA (NPI 1467568907).
Provider details
- NPI number
- 1467568907
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tony Osteen, Cfo(912) 535-8691
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
- Sleep Disorder Diagnostic Clinic/Center261QS1200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Additional practice locations (4)
- 1525 Fair Rd Ste 105aStatesboro, GA 30458-6118Phone: (800) 207-0008Fax: (912) 538-5592
- 621 E 1st St Ste BVidalia, GA 30474-4264Phone: (912) 535-5555
- 1707 Meadows Ln Ste BVidalia, GA 30474-7201Phone: (912) 535-7100Fax: (912) 535-7120
- 303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854Phone: (912) 535-7000Fax: (912) 535-7020
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2019-03-13
Frequently asked questions
- What is Southeast Regional Primary Care Corporation's NPI number?
- Southeast Regional Primary Care Corporation's National Provider Identifier (NPI) is 1467568907, 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 Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Regional Primary Care Corporation located?
- Southeast Regional Primary Care Corporation's practice location on file with NPPES is One Meadows Parkway, Vidalia, GA 30474-8921.
- 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) 535-3011.
- 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 Osteen, 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 (1467568907) is active in the NPPES registry as of the last update on 2019-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.