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

Robert Scanlon, DO

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1609874197

Robert Scanlon, DO is an Internal Medicine in Vidalia, Georgia. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1995, 31 years ago. Practices with Meadows Multispecialty Associates LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
31
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1811 Edwina Dr
Vidalia, GA 30474-8963
Phone: (912) 538-8105
Fax: (912) 538-8109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 65886 (GA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 65886 (GA)

Record details

NPI number1609874197
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1995 (31 years in practice)
Group practice Meadows Multispecialty Associates Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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