NPI age
17 years
Enumerated 2009-01-22
● Active Type 2 · Organization
Subpart
Vidalia Orthopedic Center, Llc
Vidalia Orthopedic Center, Llc is 1 of 1151 orthopaedic surgery organizations in Georgia.
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Osteen
Cfo
Last NPPES update
2014-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 1151 active orthopaedic surgery providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1707 Meadows Ln, Suite H
Vidalia, GA 304747200
Mailing address
Po Box 407
Vidalia, GA 304750407
Authorized official
Tony M Osteen
Cfo
📞 9125385314
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Bartlett Davis, PAC ATC Physician Assistant NPI 1205058948
- Robert Johnson, MD Otolaryngology NPI 1093887820
- Amber Joyner, NP Nurse Practitioner NPI 1932333291
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 333690169C | |
| 05 (GA) | 489633273A | |
| 05 (GA) | 333690169B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southeast Regional Primary Care Corp
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Southeast Regional Primary Care Corporation.
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