NPI age
20 years
Enumerated 2005-08-24
● Active Type 2 · Organization
Subpart
R T Stanley Health Center Llc
R T Stanley Health Center Llc is 1 of 181 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Osteen
Cfo
Last NPPES update
2019-08-27
Source: monthly bulk 2026-05
How this organization compares
Across 181 active clinic/center providers in Georgia.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
110 Rt Stanley SR Pl
Lyons, GA 304365623
Mailing address
Po Box 407
Vidalia, GA 304750407
Authorized official
Tony M Osteen
Cfo
📞 9125358691
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Bradley Young, FNP-BC Nurse Practitioner NPI 1912238460
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11-8904 | MEDICARE ID-TYPE UNSPECIFIED |
| 05 (GA) | 0003111970A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
R T STANLEY HEALTH CENTER LLC
-
R T STANLEY HEALTH CENTER LLC
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Southeast Regional Primary Care Corp.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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