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NPI 1467568907
● Active Type 2 · Organization
Southeast Regional Primary Care Corporation
Clinic/Center · Vidalia, GA · NPI 1467568907
·
Enumerated 2006 · 19 years on NPI
Southeast Regional Primary Care Corporation is 1 of 318 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-08-21
Primary specialty
Clinic/Center
Plus 4 secondary
Practice locations
5
4 secondary on file
Status
Active
No deactivations on record
Authorized official
Osteen
Cfo
Last NPPES update
2019-03-13
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
19 years
↑ 13 yr above median
Practice locations
5
4 secondary on file
Subspecialties
4
In the 29% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
One Meadows Parkway
Vidalia, GA 304748921
📞 9125353011 fax 9125375366
Mailing address
Po Box 407
Vidalia, GA 304750407
📞 9125353011 fax 9125385529
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
621 E 1st St Ste B
Vidalia, GA 304744264
📞 9125355555
Location 3
1707 Meadows Ln Ste B
Vidalia, GA 304747201
📞 9125357100 fax 9125357120
Location 4
1525 Fair Rd Ste 105a
Statesboro, GA 304586118
📞 8002070008 fax 9125385592
Location 5
303 Harris Industrial Blvd Ste 5
Vidalia, GA 304748854
📞 9125357000 fax 9125357020
Authorized official
Tony M Osteen
Cfo
📞 9125358691
Individual providers at this organization
2 individual providers on file at this primary practice address.
Darren Brow , MD
Student in an Organized Health Care Education/Training Program
NPI 1285161919
Patrick Byrne , MD
Specialist
NPI 1134127277
Specialties
Clinic/Center
Primary
Definition to come...
taxonomy 261QM1300X
Clinic/Center
Definition to come...
taxonomy 261QP2300X
Clinic/Center
Definition to come...
taxonomy 261QR0200X
Clinic/Center
Definition to come...
taxonomy 261QS1200X
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
taxonomy 207Q00000X
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 4 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.