# MEADOWS REGIONAL MEDICAL CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MEADOWS REGIONAL MEDICALCENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093853764
- **Authorized official:** MICHELLE COX (PHCY DIR)
- **Authorized official phone:** (912) 538-5871

## Contact information

- **Practice address:** 1703 MEADOWS LN, VIDALIA, GA 30474-8915
- **Practice address phone:** (912) 538-5872
- **Practice address fax:** (912) 538-5276
- **Mailing address:** PO BOX 1048, VIDALIA, GA 30475-1048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHRE007368 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000725084A | — | GA |
| 01 | — | 1154157 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |