MEADOWS REGIONAL MEDICAL CENTER, INC. (NPI# 1467091389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467091389 |
| Entity Type | Organization |
| Organization Name | MEADOWS REGIONAL MEDICAL CENTER, INC. |
| Practice Address |
1707 Meadows Ln Ste B Vidalia GA 30474-7201 |
| Mailing Address |
Po Box 407 Vidalia GA 30475-0407 |
| Practice Telephone | 9125357100 |
| Practice Fax Number | 9125357120 |
| Mailing Telephone | 9125355581 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | TONY M O'STEEN (CFO) |
| Authorized Official Telephone | 9125358691 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEADOWS REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000001086A | 05 |
| Other Name | Type Code |
|---|---|
| Meadows Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627588 | Meadows Regional Medical Center, Inc. | Skilled Nursing Facility | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2005-08-23 |
| Street Address |
1707 MEADOWS LN STE B |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
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| 1518428887 | Women's Imaging Specialists - Canton, LLC | Clinic/Center | 203 Oakside Ln Ste C, Canton, GA 30114-6407 | 2019-03-28 |
| 1588133813 | Women's Imaging Specialists - Lawrenceville, LLC | Clinic/Center | 1730 Lawrenceville Suwanee Rd Ste B, Lawrenceville, GA 30043-3507 | 2018-11-15 |
| 1437594686 | Affordable Breast Imaging | Clinic/Center | 864 Kendall Park Dr, Winder, GA 30680-7868 | 2013-05-01 |
| 1255619441 | Digital Mammography Specialists - Conyers, LLC | Clinic/Center | 3242 Avalon Blvd., Conyers, GA 30013 | 2011-07-22 |
| 1144407750 | Evans Imaging, LLC | Clinic/Center | 4350 Towne Center Drive, Suite 1000, Evans, GA 30809 | 2008-01-25 |
| 1568651644 | Digital Mammography Specialists, Inc. | Clinic/Center | 200 Arizona Avenue Ne, Suite 200, Atlanta, GA 30307-2299 | 2007-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.