P Praxis·MD
● Active Type 2 · Organization Subpart

Vidalia Urology Associates, Llc

Specialist·Vidalia, GA· NPI 1124284088 · Enumerated 2008 · 17 years on NPI
Vidalia Urology Associates, Llc is 1 of 1881 specialist organizations in Georgia.
NPI age
17 years
Enumerated 2008-07-31
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
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
1707 Meadows Ln Ste F
Vidalia, GA 304747201
📞 9125379481
Mailing address
Po Box 407
Vidalia, GA 304750407
📞 9125379481fax 9125371380

Authorized official

Tony M Osteen
Cfo
📞 9125385314

Individual providers at this organization

2 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
01 (GA) 511G700994 MEDICARE

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

Subpart of Southeast Regional Primary 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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