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Southeast Regional Kidney and Hypertension Specialists, Ll

Nephrology Physician in Vidalia, GA · enumerated 2012 · authorized official Tony Osteen, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104174655

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Regional Kidney and Hypertension Specialists, Ll
Parent organization Southeast Regional Primary Care Corporatio
Practice address 1811 Manning Dr, Vidalia, GA, 30474
Phone (912) 535-2554
Fax (912) 535-2558
Enumeration date Aug 15, 2012
Last updated in NPPES Aug 25, 2014

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Tony Osteen
Title Cfo
Phone (912) 538-5314

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Southeast Regional Kidney and Hypertension Specialists, Ll?
Southeast Regional Kidney and Hypertension Specialists, Ll is registered in NPPES as a Nephrology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-25.