OrganizationActive
Vidalia Anesthesia Assoc PC
NPI 1912955725 · Anesthesiology Physician · Vidalia, GA
Provider details
- NPI number
- 1912955725
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- June Tootle, Office Manager(912) 538-5359
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1703 Meadows Lane
Vidalia, GA 30474
Phone: (912) 538-5359
Fax: (912) 538-5228
Street-level locationGet directions
Mailing address
Po Box 1303
Vidalia, GA 30475-1303
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2010-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.