Southeastern Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

53388 Issued in GA

Legal business name

SOUTHEASTERN CARDIOLOGY

Practice address

1811 Edwina Dr
Vidalia, GA 30474-8963

Phone

(912) 537-8988

Fax

(912) 608-8037

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Grace Elliott-Smith, RN

Title

Practice Manager

Phone

(912) 537-8988

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Lee Diblasi, DO

  • Cardiovascular Disease Physician
  • Charleston, WV
  • NPI 1609865930
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1396944633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 EDWINA DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748963",
            "telephone_number": "912-537-8988",
            "fax_number": "912-608-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 EDWINA DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748963",
            "telephone_number": "912-537-8988",
            "fax_number": "912-608-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT-SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-537-8988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "53388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Regional Primary Care Corporation (Meadows Medical Group Orthopedics)
• Southeast Regional Primary Care Corporation
• Southeast Regional Primary Care Corporation (Meadows Medical Group Womens Center)
• Southeast Regional Primary Care Corporation (Meadows Medical Group Hospital Services)
• Southeast Regional Primary Care Corporation (Meadows Medical Group Pediatrics)
• Southeastern Cardiovascular Img, Inc.
• Southern Chiro Vidalia, LLC
• Southern Choices LLC
• Southern Community Hospice, Inc. (Community Hospice)
• Southern Magnolia Personal Care Home

• Cardiovascular Disease Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.