Vidalia Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VIDALIA MEDICAL ASSOCIATES, PC

Practice address

200 Maple Dr
Vidalia, GA 30474-8907

Phone

(912) 537-9851

Fax

(912) 537-9843

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By 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

Ms. Tammy T Thompson, MBA

Title

Administrator

Phone

(912) 537-9851

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• James H Barber Jr., M. D.

  • Internal Medicine Physician
  • Vidalia, GA
  • NPI 1982698346
  Medicare reassignment Care Compare group NPD
• Ronnie R Smith, M. D.

  • Internal Medicine Physician
  • Vidalia, GA
  • NPI 1669465670
  Medicare reassignment Care Compare group NPD
• Robert Lee Arnold, MPAS, PA-C

  • Medical Physician Assistant
  • Vidalia, GA
  • NPI 1265426639
  Medicare reassignment Care Compare group
• Dustin J Carter, MPAS, PA-C

  • Medical Physician Assistant
  • Vidalia, GA
  • NPI 1982698361
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1740450097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1367",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304751367",
            "telephone_number": "912-537-9851",
            "fax_number": "912-537-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748907",
            "telephone_number": "912-537-9851",
            "fax_number": "912-537-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDALIA MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-537-9851",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidalia Health Services, LLC
• Vidalia Health Services, LLC (Sleep Center-Vidalia, a department of Memorial Health Meadows Hospital)
• Vidalia Imaging Associates, LLC
• Vidalia Immediate & Primary Care LLC
• Vidalia Lab Services, Inc
• Vidalia Medical Partners Inc. (1st Choice Family Medical Group)
• Vidalia Neurology Associates, LLC
• Vidalia OB GYN
• Vidalia Open MRI, LLC
• Vidalia Oral and Maxillofacial Surgery, P.C.

• Internal Medicine Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.