TATTNALL HOSPITAL COMPANY, LLC (NPI# 1164742367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164742367 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Other Organization Name | OPTIM MEDICAL CENTER-TATTNALL |
| Practice Address |
602 E Long St Claxton GA 30417-5914 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 8008276536 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126445303 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | TERRY L CRAIG (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9126445346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 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 |
602 E LONG ST |
| City | CLAXTON |
| State | GA |
| Zip Code | 30417-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446997 | Raymundo V Teheng | Obstetrics & Gynecology | 602 E Long St, Claxton, GA 30417-5914 | 2005-09-12 |
| 1033676515 | Optim Orthopedics, LLC | Orthopaedic Surgery | 602 E Long St, Claxton, GA 30417-5914 | 2019-02-21 |
| 1346430345 | Evans Memorial Hospital, Inc | Obstetrics & Gynecology | 602 E Long St, Claxton, GA 30417-1659 | 2007-07-26 |
| 1780874701 | Evans Memorial Hospital | Obstetrics & Gynecology | 602 E Long St, Claxton, GA 30417-1659 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621418 | East Georgia Healthcare Center Inc | Clinic/Center | 6459 Us Hwy 301 S, Claxton, GA 30417 | 2018-06-04 |
| 1760717433 | Evans Memorial Hospital | Family Medicine | 602 A E. Long St., Claxton, GA 30417 | 2009-10-13 |
| 1215147095 | Lindy Homer Morgan | Chiropractor | 604 West Liberty Street, Claxton, GA 30417 | 2007-05-23 |
| 1588792113 | Home Care Aids, Inc. | Durable Medical Equipment & Medical Supplies | 107-b S. Duval St., Claxton, GA 30417 | 2007-03-02 |
| 1245314053 | Paul R Hawkins | Family Medicine | 501 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1235213158 | Jesse B Scott | Internal Medicine | 602 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1336533199 | Optim Orthopedics, LLC | Orthopaedic Surgery | 209 North River Street, Claxton, GA 30417 | 2015-03-19 |
| 1649555178 | Suzannah Jo Williamson | Nurse Practitioner | 602 E. Long Street, Claxton, GA 30417 | 2011-10-16 |
| 1184021347 | Charles E.kelly & Company | Counselor | 409 Oak St, Claxton, GA 30417-1351 | 2014-12-03 |
| 1073963476 | Claxton Family Dentistry LLC | Dentist | 201 E Long St, Claxton, GA 30417-1409 | 2016-06-16 |
| Find all providers in zip 30417 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033676515 | Optim Orthopedics, LLC | Orthopaedic Surgery | 602 E Long St, Claxton, GA 30417-5914 | 2019-02-21 |
| 1336533199 | Optim Orthopedics, LLC | Orthopaedic Surgery | 209 North River Street, Claxton, GA 30417 | 2015-03-19 |
| 1609897875 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 200 N River St, Claxton, GA 30417-1659 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TATTNALL HOSPITAL COMPANY, LLC.
| 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.