P Praxis·MD
● Active Type 2 · Organization Subpart

Southeast Regional Cardiac And Vascular Institute, Llc

Internal Medicine·Vidalia, GA· NPI 1740503440 · Enumerated 2010 · 16 years on NPI
Southeast Regional Cardiac And Vascular Institute, Llc is 1 of 238 internal medicine organizations in Georgia.
NPI age
16 years
Enumerated 2010-03-09
Primary specialty
Internal Medicine
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Osteen
Cfo
Last NPPES update
2020-11-04
Source: monthly bulk 2026-05

How this organization compares

Across 238 active internal medicine providers in Georgia.

NPI age
16 years
↓ 2 yr below median
Practice locations
3
2 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-03Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
101 Harris Industrial Blvd, Suite A
Vidalia, GA 304748852
📞 9125353500fax 9125354498
Mailing address
Po Box 407
Vidalia, GA 304750407
📞 9125353500fax 9125354498

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
11 Cross St
Hazlehurst, GA 315396427
📞 9125353500
Location 3
195 E Tollison St Ste A-B
Baxley, GA 315130172
📞 9125353500

Authorized official

Tony M Osteen
Cfo
📞 9125375314

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
    GA license #65260 taxonomy 207RI0011X

Identifiers

TypeValueNotes
05 (GA) 489617065A

Practice context

Multi-provider organization. 20 individual providers on file at this primary address. Plus 2 secondary practice locations.

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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