P Praxis·MD
● Active Type 2 · Organization

Rural Health Center Of Southeast Ga.,inc.

Clinic/Center·Vidalia, GA· NPI 1508910241 · Enumerated 2007 · 19 years on NPI
Rural Health Center Of Southeast Ga.,inc. is 1 of 181 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-22
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Derrick
Ceo
Last NPPES update
2008-01-28
Source: monthly bulk 2026-05

How this organization compares

Across 181 active clinic/center providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
300 Arlington Dr.
Vidalia, GA 30474
📞 9125380830fax 9125381333
Mailing address
300 Arlington Dr., Po Box 645
Vidalia, GA 304750645
📞 9125380830fax 9125381333

Authorized official

John Burton Derrick
Ceo
📞 9125380830

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR1300X

Identifiers

TypeValueNotes
05 (GA) 00741243A

Other names on file (1)

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

  • family health center
    Type code 3 recorded 2007-01-22

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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