SCREVEN COUNTY HOSPITAL LLC (NPI# 1033428214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033428214 |
| Entity Type | Organization |
| Organization Name | SCREVEN COUNTY HOSPITAL LLC |
| Other Organization Name | OPTIM PRIMARY CARE MILLEN |
| Practice Address |
961 E Winthrope Ave Millen GA 30442-1839 |
| Mailing Address |
460 Mall Blvd Ste B Savannah GA 31406-4801 |
| Practice Telephone | 4789829081 |
| Practice Fax Number | 4789828843 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126443369 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | HOLLY D ROLAND (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
GA | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optim Primary Care Millen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578842712 | Screven County Hospital LLC | Family Medicine | 213 Mims Rd, Sylvania, GA 30467-1994 | 2011-08-05 |
| 1770886822 | Screven County Hospital LLC | Internal Medicine | 211 Mims Rd, Sylvania, GA 30467-1994 | 2010-12-13 |
| 1083915524 | Screven County Hospital LLC | Medicare Defined Swing Bed Unit | 215 Mims Rd, Sylvania, GA 30467-1994 | 2010-11-16 |
| Street Address |
961 E WINTHROPE AVE |
| City | MILLEN |
| State | GA |
| Zip Code | 30442-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033186648 | Edmund Gordon Byne | Family Medicine | 961 E Winthrope Ave, Millen, GA 30442 | 2006-03-02 |
| 1225491970 | Optim Orthopedics, LLC | Orthopaedic Surgery | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2016-03-31 |
| 1063875730 | Tattnall Hospital Company, LLC | Pain Medicine | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2016-03-31 |
| 1003271305 | Joyce Ross-moore | Nurse Practitioner | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2015-12-31 |
| 1497911937 | Prakul Chandra | Family Medicine | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2008-08-04 |
| 1205920428 | Heywood Kyle Gay | Internal Medicine | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2006-10-03 |
| 1871692897 | William J. Paneral | Physician Assistant | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811443468 | Jennifer Lunsford | Nurse Practitioner | 961 East Winthrope Ave, Millen, GA 30442 | 2016-09-01 |
| 1669522801 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-11 |
| 1669535514 | Jenkins County Boe | Local Education Agency (LEA) | 1152 E Winthrope Ave, Millen, GA 30442 | 2006-12-19 |
| 1437236320 | Modesto L Campo | Internal Medicine | 961 E. Winthrope Avenue, Millen, GA 30442 | 2006-10-31 |
| 1316020696 | Pamela W. Drake | Registered Nurse | 709 Virginia Ave., Millen, GA 30442 | 2006-10-23 |
| 1669555702 | Donna E. Hendley | Registered Nurse | 709 Virginia Avenue, Millen, GA 30442 | 2006-10-23 |
| 1255384327 | Jenkins County Board of Health | Public Health or Welfare | 709 Virginia Ave, Millen, GA 30442 | 2006-05-18 |
| 1497800098 | Amanda Harrison | Counselor | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-24 |
| 1790962256 | Millen Home Care Medical, Inc | Durable Medical Equipment & Medical Supplies | 530 College Ave, Millen, GA 30442-1602 | 2008-01-28 |
| 1104017086 | H. Kyle Gay Md PC | Family Medicine | 532 College Ave, Millen, GA 30442-1602 | 2007-08-06 |
| Find all providers in zip 30442 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720090665 | Jenkins County Authority | Clinic/Center | 961 East Winthrope Avenue, Millen, GA 30442-1839 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.