NPIMap

Organization Active NPI

Meadows Regional Medical Center Inc

Doing business as Meadows Regional Medicalcenter

  • Long Term Care Pharmacy
  • Vidalia, GA
National Provider Identifier
1093853764
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEADOWS REGIONAL MEDICAL CENTER INC
Doing business as
Meadows Regional Medicalcenter
Practice address
1703 Meadows LN
Vidalia, GA 30474-8915
Phone
(912) 538-5872
Fax
(912) 538-5276
NPI assigned
Feb 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Cox
Title
Phcy Dir
Phone
(912) 538-5871

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE007368 GA
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1703 Meadows LN
Vidalia, GA 30474-8915

Mailing address

PO Box 1048
Vidalia, GA 30475-1048

Other identifiers 2

IdentifierTypeStateIssuer
000725084AMedicaidGA
1154157OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEADOWS REGIONAL MEDICALCENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Meadows Regional Medical Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093853764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304751048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MEADOWS LN",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748915",
            "telephone_number": "912-538-5872",
            "fax_number": "912-538-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHCY DIR",
        "authorized_official_telephone_number": "912-538-5871"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE007368",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000725084A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1154157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOWS REGIONAL MEDICALCENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.