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Southeast Regional Primary Care Corporation

Multi-Specialty Clinic/Center in Vidalia, GA · enumerated 2006 · authorized official Tony Osteen, Cfo.

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

National Provider Identifier

1467568907

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Regional Primary Care Corporation
Practice address One Meadows Parkway, Vidalia, GA, 30474
Phone (912) 535-3011
Fax (912) 537-5366
Enumeration date Aug 21, 2006
Last updated in NPPES Mar 13, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Secondary
261QS1200X Sleep Disorder Diagnostic Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Tony Osteen
Title Cfo
Phone (912) 535-8691

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 Primary Care Corporation?
Southeast Regional Primary Care Corporation is registered in NPPES as a Multi-Specialty Clinic/Center (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 2019-03-13.