P Praxis·MD
● Active Type 2 · Organization

Southeast Regional Primary Care Corporation

Otolaryngology·Vidalia, GA· NPI 1083117469 · Enumerated 2018 · 8 years on NPI
Southeast Regional Primary Care Corporation is 1 of 450 otolaryngology organizations in Georgia.
NPI age
8 years
Enumerated 2018-03-13
Primary specialty
Otolaryngology
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
O'Steen
Cfo
Last NPPES update
2018-03-13
Source: monthly bulk 2026-05

How this organization compares

Across 450 active otolaryngology providers in Georgia.

NPI age
8 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1707 Meadows Ln Ste C
Vidalia, GA 304747201
📞 9125373384
Mailing address
Po Box 407
Vidalia, GA 304750407
📞 9125373384

Authorized official

Tony M O'Steen
Cfo
📞 9125355560

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    taxonomy 207Y00000X
  • Otolaryngology
    An otolaryngologist who specializes in facial plastic surgery.
    taxonomy 207YS0123X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Meadows Medical Group ENT
    Type code 3 recorded 2018-03-13

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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