P Praxis·MD
● Active Type 2 · Organization Subpart

Vidalia Surgical Associates, Llc

Specialist·Vidalia, GA· NPI 1124216312 · Enumerated 2007 · 18 years on NPI
Vidalia Surgical Associates, Llc is 1 of 1881 specialist organizations in Georgia.
NPI age
18 years
Enumerated 2007-10-12
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Osteen
Cfo
Last NPPES update
2020-07-10
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1811 Edwina Dr
Vidalia, GA 304748963
📞 9125389977
Mailing address
Po Box 407
Vidalia, GA 304750407
📞 9125389977fax 9125380770

Authorized official

Tony M Osteen
Cfo
📞 9125385314

Individual providers at this organization

9 individual providers on file at this primary practice address.

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 192640864A

Practice context

Multi-provider organization. 9 individual providers on file at this primary address.

Subpart of Southeast Regional Care Corporation.

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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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