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

Vidalia Pulmonology Center, LLC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1194985093

Vidalia Pulmonology Center, LLC is a Critical Care Medicine (Internal Medicine) Physician in Vidalia, Georgia. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1811 Edwina Dr
Vidalia, GA 30474-8963
Phone: (912) 538-8105
Fax: (912) 538-8109
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X

Record details

NPI number1194985093
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Regional Primary Care Corporation
Authorized official Tony O'Steen — Cfo · (912) 538-5314
NPI enumeratedJune 13, 2008
Last updated in NPPESMay 29, 2014
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia