Southeast Regional Kidney and Hypertension Specialists, LL

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL

Practice address

1811 Manning Dr
Vidalia, GA 30474-8921

Phone

(912) 535-2554

Fax

(912) 535-2558

NPI assigned

Aug 15, 2012

Organization subpart

Yes

Parent organization

SOUTHEAST REGIONAL PRIMARY CARE CORPORATIOAs reported in NPPES

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

Authorized official

Name

Tony M Osteen

Title

Cfo

Phone

(912) 538-5314

Specialties & licenses 1

Addresses

Part of

Southeast Regional Primary Care Corporation

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1104174655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986",
            "fax_number": "912-535-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 MANNING DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748921",
            "telephone_number": "912-535-2554",
            "fax_number": "912-535-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST REGIONAL PRIMARY CARE CORPORATIO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "OSTEEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-538-5314"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.