MEADOWS MEDICAL GROUP UROLOGY – NPI #1053814434
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

MEADOWS MEDICAL GROUP UROLOGY is an urologist located in VIDALIA, GA. NPPES has assigned the NPI number 1053814434 to MEADOWS MEDICAL GROUP UROLOGY on March 13, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEADOWS MEDICAL GROUP UROLOGY” is a dba name, the actual legal business name for this organization is SOUTHEAST REGIONAL PRIMARY CARE CORPORATION. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEADOWS MEDICAL GROUP UROLOGY below.

NPI Profile for
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION

NPI Number
1053814434
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Doing Business As (dba): MEADOWS MEDICAL GROUP UROLOGY
Primary location
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA 30474-8854
Phone: (912) 537-9481 Fax:
Mailing address
PO BOX 407
VIDALIA, GA 30475-0407
Phone: (912) 537-9481 Fax:
Organization Subpart
No
Authorized Official
TONY O'STEEN
CFO
Phone: (912) 535-5560
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.