Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Regional Primary Care Corporation

Organization Family Medicine Physician · NPI 1467568907

Southeast Regional Primary Care Corporation is a Family Medicine Physician in Vidalia, Georgia. Works from 5 locations. Medicare rates this hospital 5 out of 5. Licensed in Georgia.

CMS rating
5 of 5
Licensed in
GA
In the registry since
2006
Specialties on file
5

CMS quality rating

5 out of 5 — official hospital rating from CMS Care Compare (CCN 110128)

Practice location Partly verified

Some contact details are missing from the federal record.

One Meadows Pkwy
Vidalia, GA 30474-8921
Phone: (912) 535-3011
Fax: (912) 537-5366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1525 Fair Rd Ste 105a, Statesboro, GA 30458-6118 — (800) 207-0008
  • 621 E 1st St Ste B, Vidalia, GA 30474-4264 — (912) 535-5555
  • 1707 Meadows Ln Ste B, Vidalia, GA 30474-7201 — (912) 535-7100
  • 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 — (912) 535-7000

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X (GA)
Primary Care Clinic/Center Taxonomy 261QP2300X
Radiology Clinic/Center Taxonomy 261QR0200X
Sleep Disorder Diagnostic Clinic/Center Taxonomy 261QS1200X

Record details

NPI number1467568907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Osteen — Cfo · (912) 535-8691
NPI enumeratedAugust 21, 2006
Last updated in NPPESMarch 13, 2019
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia