TATTNALL HOSPITAL COMPANY LLC (NPI# 1265701304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265701304 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY LLC |
| Other Organization Name | OPTIM MEDICAL CENTER - TATTNALL |
| Practice Address |
459 Ga Highway 119 S Springfield GA 31329-3021 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 8008276536 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | MICHAEL W KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Medical Center - Tattnall | 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 |
459 GA HIGHWAY 119 S |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982626636 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2006-07-24 |
| 1477893857 | Effingham Hospital, Inc. | Pharmacy | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2013-02-22 |
| 1326307901 | Screven County Family Health Center, LLC | Surgery | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2012-05-16 |
| 1518025857 | Mppg, Inc. | Internal Medicine | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2006-12-05 |
| 1609944081 | Mppg, Inc. | Surgery | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2006-12-01 |
| 1639246770 | Georgia Eye Institute, Inc. | Ophthalmology | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2006-11-30 |
| 1346316957 | Mppg, Inc. | Pediatrics | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2006-11-27 |
| 1710069083 | Mccabe Medical Group LLC | Emergency Medicine | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321222 | Piero Capecci | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2005-07-29 |
| 1790128387 | Dane Jack Church | Orthopaedic Surgery | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 | 2013-04-12 |
| 1275677023 | Putnam Orthopaedic Center, LLC | Orthopaedic Surgery | 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 | 2007-02-16 |
| 1669457917 | William T Wester | Orthopaedic Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013327642 | Richard Allen Boe Jr. | Orthopaedic Surgery | 2041 Mesa Valley Way Ste 100, Austell, GA 30106-6856 | 2014-05-05 |
| 1881895035 | Providence Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1401 W Spring St, Suite 200, Monroe, GA 30655-1760 | 2007-05-29 |
| 1205274800 | Fernando David Nussenbaum | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2013-06-05 |
| 1760627699 | Stattesboro Orthopaedic Center, Inc | Orthopaedic Surgery | 1497 Fair Rd, Ste 101, Statesboro, GA 30458-0823 | 2008-12-05 |
| 1851551535 | Jeffrey Peretz | Orthopaedic Surgery | 5671 Peachtree Dunwoody Rd Ne, Suite 700, Atlanta, GA 30342-5000 | 2008-06-16 |
| 1801950712 | Randall Miller Meredith | Orthopaedic Surgery | 811 13th St, Suite 20, Augusta, GA 30901-2700 | 2006-12-22 |
| 1407923089 | Dublin Multispecialty LLC | Orthopaedic Surgery | 100 Medical Dr, Suite 100 & 200, Dublin, GA 31021 | 2006-11-29 |
| 1518977701 | Timothy Richard Young | Orthopaedic Surgery | 1 Freedom Way, Vamc Orthopedics, Augusta, GA 30904-6258 | 2006-08-09 |
| 1720019698 | Thomas Lane Bradbury Jr. | Orthopaedic Surgery | 59 Executive Park S, Atlanta, GA 30329-2208 | 2006-07-06 |
| 1295761450 | Greg Erens | Orthopaedic Surgery | 59 Executive Park S, Suite 2000, Atlanta, GA 30329-2208 | 2006-06-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 31329 |
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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.