Vidalia Immediate & Primary Care LLC
NPI 1942974167 · Primary Care Clinic/Center · Vidalia, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vidalia Immediate & Primary Care LLC is a Primary Care Clinic/Center organization in Vidalia, GA (NPI 1942974167).
Provider details
- NPI number
- 1942974167
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Beckum, Practice Manager/Office Manager(912) 293-2869
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2021-11-16
- Certified
- 2021-11-16
Frequently asked questions
- What is Vidalia Immediate & Primary Care LLC's NPI number?
- Vidalia Immediate & Primary Care LLC's National Provider Identifier (NPI) is 1942974167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidalia Immediate & Primary Care LLC?
- Vidalia Immediate & Primary Care LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vidalia Immediate & Primary Care LLC located?
- Vidalia Immediate & Primary Care LLC's practice location on file with NPPES is 122 Alice Coleman Drive, Vidalia, GA 30474.
- What is Vidalia Immediate & Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidalia Immediate & Primary Care LLC is (912) 805-2273.
- Does Vidalia Immediate & Primary Care LLC accept Medicare?
- Vidalia Immediate & Primary Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vidalia Immediate & Primary Care LLC?
- The authorized official listed on Vidalia Immediate & Primary Care LLC's NPPES record is Melissa Beckum, Practice Manager/Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidalia Immediate & Primary Care LLC's NPI active?
- Yes — Vidalia Immediate & Primary Care LLC's NPI (1942974167) is active in the NPPES registry as of the last update on 2021-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.