TATTNALL HOSPITAL COMPANY, LLC (NPI# 1063875730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063875730 |
Entity Type | Organization |
Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
Other Organization Name | OPTIM MEDICAL CENTER - TATTNALL |
Practice Address |
961 E Winthrope Ave Millen GA 30442-1839 |
Mailing Address |
460 Mall Blvd Suite B Savannah GA 31406-4801 |
Practice Telephone | 4789820120 |
Practice Fax Number | 4789829081 |
Mailing Telephone | 9126441626 |
Mailing Fax Number | 9126445260 |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-03-31 |
Authorized Official Name | ROBERT GUENTHNER (SECRETARY OF CHHC) |
Authorized Official Telephone | 3126278247 |
Is Organization Subpart | Y |
Parent Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Optim Medical Center - Tattnall | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
1093115123 | Tattnall Hospital Company, LLC | Neurological Surgery | 3345 Us Highway 84, Suite 100, Blackshear, GA 31516-2159 | 2014-08-26 |
1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
1720322464 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 38 S. Tallahassee Street, Suite B, Hazlehurst, GA 31539 | 2012-11-19 |
1013261312 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 8. North Williams Street, Metter, GA 30439 | 2012-11-08 |
1245501063 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 5918 Ogeechee Rd, Savannah, GA 31419-9527 | 2012-01-25 |
1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
1891009924 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 110 East Tollison Street, Baxley, GA 31513 | 2010-07-30 |
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 |
1003271305 | Joyce Ross-moore | Nurse Practitioner | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2015-12-31 |
1033428214 | Screven County Hospital LLC | Clinic/Center | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
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 | 208VP0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Pain Medicine |
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821616830 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1357 Hembree Rd Ste 220, Roswell, GA 30076-5722 | 2020-07-07 |
1902424914 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1504 N Thornton Ave Ste 103, Dalton, GA 30720-8394 | 2020-07-07 |
1144865528 | Lionel Terry Johnson | Pain Medicine | 5825 Glenridge Dr Ste 2-212, Atlanta, GA 30328-5394 | 2019-11-09 |
1750931168 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 100 Liberty Blvd Ste 210, Canton, GA 30114-2852 | 2019-09-17 |
1639637762 | Tmc Tanner Pain Management Inc | Pain Medicine | 150 Henry Burson Ave Ste 110, Carrollton, GA 30117-4408 | 2019-03-07 |
1811454820 | Healthmed Interventional Pain Management | Pain Medicine | 4535 Winters Chapel Rd Ste B, Doraville, GA 30360-2705 | 2019-02-26 |
1639641384 | Spine Center Atlanta North, LLC | Pain Medicine | 3540 Duluth Park Ln Ste 120, Duluth, GA 30096-3200 | 2018-12-19 |
1144707001 | Thrive Medical Partners LLC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste A, Gainesville, GA 30501-3874 | 2018-07-24 |
1861909533 | Comprehensive Spine & Pain LLC | Pain Medicine | 939 Bob Arnold Blvd Ste G, Lithia Springs, GA 30122-3258 | 2018-01-04 |
1194274001 | Spine Center Atlanta East, LLC | Pain Medicine | 1309 Wellbrook Cir., Ste H, Conyers, GA 30012-3873 | 2016-10-04 |
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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.