OrganizationActive
Vidalia Health Services, LLC
NPI 1578157020 · Mammography Clinic/Center · Vidalia, GA
Provider details
- NPI number
- 1578157020
- Entity type
- Organization
- Primary specialty
- Mammography Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Vidalia Health Services, LLC
- Organization subpart
- Yes
- Authorized official
- Jared Kirby, Cfo(912) 535-8691
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1707 Meadows Ln Ste B
Vidalia, GA 30474-7201
Phone: (912) 535-5555
Street-level locationGet directions
Mailing address
1707 Meadows Ln Ste B
Vidalia, GA 30474-7201
Registry dates
- Enumerated
- 2021-02-25
- Last updated
- 2022-07-27
- Certified
- 2022-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.