SOUTHEASTERN CARDIOLOGY – Cardiovascular Disease Physician, NPI 1396944633

Cardiovascular Disease Physician

SOUTHEASTERN CARDIOLOGY is a healthcare provider. based in Vidalia, Georgia. specializing in Cardiovascular Disease Physician. The organization holds a License No. 53388 (GA). The NPI Number for SOUTHEASTERN CARDIOLOGY is 1396944633

Main info

Organization

Name

SOUTHEASTERN CARDIOLOGY

NPI

1396944633

Phone

(912) 537-8988

Address

1811 EDWINA DR

Authorized Official

MRS. DEBORAH GRACE ELLIOTT-SMITH PRACTICE MANAGER RN

Enumeration Date

17 July 2007

Last Update Date

17 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHEASTERN CARDIOLOGY

1811, Edwina Drive, Vidalia, Toombs County, Georgia, 30474, United States
VIDALIA, GA 304748963
Phone: (912) 537-8988
Fax: (912) 608-8037
Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

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

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 30474)

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Reviews

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Frequently asked questions

How is SOUTHEASTERN CARDIOLOGY identified in CMS data?

CMS-hosted NPPES data lists SOUTHEASTERN CARDIOLOGY with NPI 1396944633.

Is SOUTHEASTERN CARDIOLOGY still practicing?

SOUTHEASTERN CARDIOLOGY is currently listed as active in the public NPI registry.

What is SOUTHEASTERN CARDIOLOGY's primary classification?

Cardiovascular Disease Physician is the headline specialty for SOUTHEASTERN CARDIOLOGY here. Clinical services aligned with this taxonomy classification.

Where should I expect SOUTHEASTERN CARDIOLOGY on a map?

Expect Vidalia, Georgia as a primary anchor for SOUTHEASTERN CARDIOLOGY unless the record lists multiple sites.

Is the information about SOUTHEASTERN CARDIOLOGY up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."