OrganizationActive
Vidalia Children'S Center LLC
NPI 1679705115 · Pediatrics Physician · Vidalia, GA
Provider details
- NPI number
- 1679705115
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southeadt Regional Primary Care Corporation
- Organization subpart
- Yes
- Authorized official
- Tony Osteen, Cfo(912) 538-5314
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
16 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
125 Church Street
Vidalia, GA 30474
Phone: (912) 538-8484
Fax: (912) 538-8665
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 407
Vidalia, GA 30475-0407
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2014-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.