OPTIM ORTHOPEDICS, LLC (NPI# 1225491970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225491970 |
| Entity Type | Organization |
| Organization Name | OPTIM ORTHOPEDICS, LLC |
| Other Organization Name | OPTIM ORTHOPEDICS |
| Practice Address |
961 E Winthrope Ave Millen GA 30442-1839 |
| Mailing Address |
460 Mall Blvd Suite B Savannah GA 31406-4801 |
| Practice Telephone | 4789821500 |
| Practice Fax Number | 9126445280 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | MARK MILLER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9126441626 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTIM ORTHOPEDICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1730573841 | Optim Orthopedics, LLC | Orthopaedic Surgery | 810 Towne Park Dr Ste 200, Rincon, GA 31326-5167 | 2015-03-26 |
| 1194118133 | Optim Orthopedics, LLC | Orthopaedic Surgery | 110 E Tollison St, Baxley, GA 31513-0122 | 2015-03-16 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1033676515 | Optim Orthopedics, LLC | Orthopaedic Surgery | 602 E Long St, Claxton, GA 30417-5914 | 2019-02-21 |
| 1225492341 | Optim Orthopedics, LLC | Orthopaedic Surgery | 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313-3915 | 2016-04-06 |
| 1306211529 | Optim Orthopedics, LLC | Orthopaedic Surgery | 821 S Main St, Suite C, Baxley, GA 31513-0164 | 2015-12-14 |
| 1134598477 | Optim Orthopedics, LLC | Orthopaedic Surgery | 1126 W 12th St, Alma, GA 31510-1814 | 2015-09-16 |
| 1447627641 | Optim Orthopedics, LLC | Orthopaedic Surgery | 3345 Us Highway 84, Suite 100, Blackshear, GA 31516-2159 | 2015-08-24 |
| 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 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1487048153 | Optim Orthopedics, LLC | Orthopaedic Surgery | 960 College Ave, Millen, GA 30442-1634 | 2015-03-20 |
| 1417225020 | Jenkins County Hospital LLC | Orthopaedic Surgery | 960 College Ave, Millen, GA 30442-1634 | 2011-12-09 |
| 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 | ||||
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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.