P Praxis·MD
● Active Type 2 · Organization

Pineland Mh/mr/sa Csb

Clinic/Center·Vidalia, GA· NPI 1760658587 · Enumerated 2008 · 18 years on NPI
Pineland Mh/mr/sa Csb is 1 of 730 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2008-05-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dipolito
Executive Director
Last NPPES update
2008-05-01
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
901 North St W
Vidalia, GA 304743503
📞 9125379316fax 9125379915
Mailing address
5 W Altman St
Statesboro, GA 304585212
📞 9127646906fax 9127643252

Authorized official

June A Dipolito
Executive Director
📞 9127646906

Specialties

  • Clinic/Center Primary
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    GA license #LPN068072 taxonomy 261Q00000X

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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