Organization
CARDIOLOGY ASSOCIATES OF VIDALIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE GILES (OFFICE MANAGER)
(912) 537-1221
Entity
Organization
Contact information
Practice address
1006 MOUNT VERNON RD, VIDALIA, GA 30474-3029
(912) 537-1221
(912) 537-1012
Mailing address
1006 MOUNT VERNON RD, VIDALIA, GA 30474-3029
(912) 537-1221
(912) 537-1012
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
025159
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000348169R
—
GA
01
—
060062628
RAILROAD MEDICARE
GA
01
—
1104827369
NPI - INDIVIDUAL
GA
01
—
252783403
TRICARE
GA
Enumeration date
10/19/2007
Last updated
04/20/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up