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

Vidalia Immediate & Primary Care LLC

Organization Primary Care Clinic/Center · NPI 1942974167

Vidalia Immediate & Primary Care LLC is a Primary Care Clinic/Center in Vidalia, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

122 Alice Coleman Dr
Vidalia, GA 30474
Phone: (912) 805-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1942974167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Beckum — Practice Manager/Office Manager · (912) 293-2869
NPI enumeratedAugust 2, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing addressPo Box 2324, Vidalia, GA 30475-2324

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