Home
/
Specialty
/
General Acute Care Hospital
/
GA
/
NPI 1790288181
● Active Type 2 · Organization
Southeast Regional Primary Care Corporation
General Acute Care Hospital · Vidalia, GA · NPI 1790288181
·
Enumerated 2018 · 8 years on NPI
Southeast Regional Primary Care Corporation is 1 of 309 general acute care hospital organizations in Georgia.
NPI age
8 years
Enumerated 2018-03-13
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
O'Steen
Cfo
Last NPPES update
2018-03-13
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2018 → 2026
2018-03 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1 Meadows Pkwy
Vidalia, GA 304748759
📞 9125355555
Mailing address
Po Box 407
Vidalia, GA 304750407
Authorized official
Tony M O'Steen
Cfo
📞 9125355560
Individual providers at this organization
20 individual providers on file at this primary practice address.
Brick Acosta , M.D.
Internal Medicine
NPI 1083607956
John Allen , CSFA
Specialist/Technologist, Other
NPI 1861761421
Emily Berryhill , PA-C
Physician Assistant
NPI 1174387781
Brandon Blount , CRNA
Nurse Anesthetist, Certified Registered
NPI 1457006256
Kelli Boatright
Nurse Practitioner
NPI 1972287167
Glen Bunn , MD
Emergency Medicine
NPI 1487004230
Ann Chalker , CRNA
Nurse Anesthetist, Certified Registered
NPI 1972783546
Esther Clements , PA
Physician Assistant
NPI 1861050890
Cheryl Cliff , M.D.
Pediatrics
NPI 1619066826
Henry Cline , M.D.
Radiology
NPI 1093716409
Milca Ejimone , MD
Anesthesiology
NPI 1952938482
Julie Fitzgerald , M.D.
Anesthesiology
NPI 1487748919
Frank Gibase , M.D.
Anesthesiology
NPI 1194718494
Charles Gordon , MD
Internal Medicine
NPI 1144279548
Cindy Hand , NP
Nurse Practitioner
NPI 1013768704
Daniel Harris , CRNA
Nurse Anesthetist, Certified Registered
NPI 1730572850
Christopher Hensley , RN, BSN
Registered Nurse
NPI 1437897782
Helen Hussey , RD, LD
Dietitian, Registered
NPI 1184846073
Damon Jessup , CRNA
Nurse Anesthetist, Certified Registered
NPI 1851578637
Diedra Joseph Baker , MD
Family Medicine
NPI 1740804848
Specialties
General Acute Care Hospital
Primary
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
taxonomy 282N00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 309 General Acute Care Hospital providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →
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.