OrganizationActive
Pineland Mh/Mr/Sa Csb
NPI 1760658587 · Clinic/Center · Vidalia, GA
Provider details
- NPI number
- 1760658587
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- June Dipolito, Executive Director(912) 764-6906
- License
- LPN068072 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
901 North St W
Vidalia, GA 30474-3503
Phone: (912) 537-9316
Fax: (912) 537-9915
Street-level locationGet directions
Mailing address
5 W Altman St
Statesboro, GA 30458-5212
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.