SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC – Interventional Cardiology Physician, NPI 1740503440

SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC is a healthcare provider. based in Vidalia, Georgia. specializing in Interventional Cardiology Physician. The organization holds a License No. 65260 (GA). The NPI Number for SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC is 1740503440

Main info

Organization
Name
SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC
NPI
1740503440
Phone
(912) 535-3500
Address
PO BOX 407
Authorized Official
TONY M OSTEEN CFO
Enumeration Date
9 March 2010
Last Update Date
4 November 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 535-3500

    Fax: (912) 535-4498

    Type: Mailing

  • 11 Cross St

    Hazlehurst, GA 315396427

    Phone: (912) 535-3500

    Type: Location

  • 195 E Tollison St Ste A-B

    Baxley, GA 315130172

    Phone: (912) 535-3500

    Type: Location

  • 101, Harris Industrial Boulevard, Vidalia, Toombs County, Georgia, 30474, United States

    SUITE A

    VIDALIA, GA 304748852

    Phone: (912) 535-3500

    Fax: (912) 535-4498

    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

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.

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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 30475)

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Reviews

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Frequently asked questions

How is SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC identified in CMS data?
CMS-hosted NPPES data lists SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC with NPI 1740503440.
Does CMS list SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC as active?
Yes — SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC is active in the NPI listing used on this page.
What healthcare role does SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC hold?
Scheduling teams often label SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC under Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Does SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC list a practice location?
Patients near Vidalia, Georgia may find SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC in results; validate coverage separately.
Why does SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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