VIDALIA PULMONOLOGY CENTER, LLC – Pulmonary Disease Physician, NPI 1194985093

VIDALIA PULMONOLOGY CENTER, LLC is a healthcare provider. based in Vidalia, Georgia. specializing in Pulmonary Disease Physician. The NPI Number for VIDALIA PULMONOLOGY CENTER, LLC is 1194985093

Main info

Organization
Name
VIDALIA PULMONOLOGY CENTER, LLC
NPI
1194985093
Phone
(912) 538-8105
Address
PO BOX 407
Authorized Official
TONY M O'STEEN CFO
Enumeration Date
13 June 2008
Last Update Date
29 May 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for VIDALIA PULMONOLOGY CENTER, LLC

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 538-8105

    Fax: (912) 538-8109

    Type: Mailing

  • 1811, Edwina Drive, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304748963

    Phone: (912) 538-8105

    Fax: (912) 538-8109

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30475)

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Reviews

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Frequently asked questions

Is VIDALIA PULMONOLOGY CENTER, LLC listed with a National Provider Identifier?
Yes — VIDALIA PULMONOLOGY CENTER, LLC has NPI 1194985093 on file in the registry.
Would VIDALIA PULMONOLOGY CENTER, LLC appear as active to a payer?
You can treat VIDALIA PULMONOLOGY CENTER, LLC as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to VIDALIA PULMONOLOGY CENTER, LLC?
VIDALIA PULMONOLOGY CENTER, LLC's specialty line reads Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with VIDALIA PULMONOLOGY CENTER, LLC?
Directory geography for VIDALIA PULMONOLOGY CENTER, LLC centers on Vidalia, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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