TATTNALL HOSPITAL COMPANY LLC (NPI# 1083077309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083077309 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY LLC |
| Other Organization Name | OPTIM THERAPY CENTER- POOLER |
| Practice Address |
101 W Mulberry Blvd Suite 140 Savannah GA 31407-3506 |
| Mailing Address |
460 Mall Blvd Suite B Savannah GA 31406-4801 |
| Practice Telephone | 9127485111 |
| Practice Fax Number | 9127486699 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | TERRY L CRAIG (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 9126445346 |
| Is Organization Subpart | Y |
| Parent Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optim Therapy - Pooler | Doing Business As Name - Organization |
| Optim Therapy Center- Pooler | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1134573660 | Tattnall Hospital Company LLC | Physical Therapist | 810 Towne Park Dr, Suite 200, Rincon, GA 31326-5171 | 2016-04-21 |
| 1992072722 | Tattnall Hospital Company LLC | Psychiatry & Neurology | 16 Okatie Center Blvd S, Suite 201, Okatie, SC 29909-7533 | 2011-11-22 |
| 1023253408 | Tattnall Hospital Company LLC | Internal Medicine | 36671 Hwy 23, Cobbtown, GA 30420-6042 | 2008-12-12 |
| 1821607359 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2020-07-30 |
| 1578197331 | Tattnall Hospital Company LLC | Neurological Surgery | 42 Truman Rd, Hawkinsville, GA 31036-4644 | 2020-03-02 |
| 1114551975 | Tattnall Hospital Company LLC | Neurological Surgery | 425 N Cobb St, Milledgeville, GA 31061-2634 | 2020-03-02 |
| 1902430457 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 305 Pineview Dr, Waycross, GA 31501-5229 | 2020-02-24 |
| 1750890562 | Tattnall Hospital Company LLC | Neurological Surgery | 121 N Crest Blvd, Macon, GA 31210-1845 | 2017-09-25 |
| 1255877361 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 11 Cross St, Hazlehurst, GA 31539-6427 | 2017-01-12 |
| Street Address |
101 W MULBERRY BLVD SUITE 140 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31407-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689020877 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 101 W Mulberry Blvd, Suite 100, Savannah, GA 31407-3506 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1861038044 | Mara Dawne Carson | Nurse Practitioner | 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 | 2019-11-21 |
| 1831620087 | Pharmdixon Consulting LLC | Pharmacy | 2155 Benton Blvd, 13203, Savannah, GA 31407-0491 | 2017-03-21 |
| 1033610415 | Derrick Jackson Thomas | Specialist/Technologist | 1 Bonnybridge Rd, Savannah, GA 31407-1312 | 2018-02-22 |
| 1043209240 | Westview Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2005-10-19 |
| 1922575679 | Pruitthealth - Seaside, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2018-10-31 |
| 1477060705 | Benjamin Lane Richey | Behavior Technician | 204 Turnberry St, Port Wentworth, GA 31407-1925 | 2018-01-09 |
| 1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
| 1699120410 | Dr Kenneith Durden Outreach | Counselor | 41 Moonlight Trl, Port Wentworth, GA 31407-3321 | 2016-04-29 |
| Find all providers in zip 31407 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1730496217 | United Rehab Inc | Clinic/Center | 12825 White Bluff Rd, Savannah, GA 31419-2993 | 2010-09-07 |
| 1194054056 | Developmental Therapy Associates | Clinic/Center | 106 Oglethorpe Professional Ct Ste A, Savannah, GA 31406-3693 | 2009-12-23 |
| 1942703269 | Effingham Rehab Services, LLC | Clinic/Center | 902 E 67th St, Savannah, GA 31405-4613 | 2018-03-13 |
| 1487177804 | Effingham Rehab Services, Inc | Clinic/Center | 6206 Waters Ave, Savannah, GA 31406-2708 | 2017-07-18 |
| 1376969410 | Sundance Rehabilitation Agency LLC | Clinic/Center | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| 1861885840 | Caretherapy, LLC | Clinic/Center | 1567 Janmar Rd Ste 200, Snellville, GA 30078-0309 | 2015-03-14 |
| 1942606991 | Physical Therapy Forum | Clinic/Center | 5755 N Point Pkwy Ste 56, Alpharetta, GA 30022-1145 | 2014-11-18 |
| 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.