OPTIM ORTHOPEDICS, LLC (NPI# 1386038057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386038057 |
| Entity Type | Organization |
| Organization Name | OPTIM ORTHOPEDICS, LLC |
| Other Organization Name | OPTIM ORTHOPEDICS |
| Practice Address |
3301 E 1st St Suite B Vidalia GA 30474-8674 |
| Mailing Address |
210 E Derenne Ave Attn.: Provider Enrollment Savannah GA 31405-6736 |
| Practice Telephone | 9125370888 |
| Practice Fax Number | 9125378820 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | MICHAEL W KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| 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 |
| 1225491970 | Optim Orthopedics, LLC | Orthopaedic Surgery | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2016-03-31 |
| 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 |
| Street Address |
3301 E 1ST ST SUITE B |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-8674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693024 | Richard M Proenza | Physician Assistant | 3301 E 1st St, Suite A, Vidalia, GA 30474-8674 | 2005-10-20 |
| 1477909364 | Tattnall Hospital Company LLC | Physical Therapist | 3301 E 1st St, Suite B, Vidalia, GA 30474-8674 | 2016-05-10 |
| 1104017821 | Mark Spivey Orthopedic Clinic, LLC | Orthopaedic Surgery | 3301 E 1st St, Ste A, Vidalia, GA 30474-8674 | 2007-08-07 |
| 1790829463 | David R Oates | Physical Therapist | 3301 E 1st St, Suite B, Vidalia, GA 30474-8674 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| 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 |
|---|---|---|---|---|
| 1659517811 | John Casey Spivey | Orthopaedic Surgery | 3301 E 1st St Ste A, Vidalia, GA 30474-8674 | 2008-12-18 |
| 1831185172 | Four Rivers Orthopedic Assoc PC | Orthopaedic Surgery | 500a Maple Dr, Vidalia, GA 30474-8998 | 2005-09-22 |
| 1861486862 | Charles M Spivey | Orthopaedic Surgery | 3301 First Street East, Suite A, Vidalia, GA 30474 | 2005-09-06 |
| 1275985012 | Riverfront Urgent Care Center LLC | Orthopaedic Surgery | 107 Front St, Ste 2138, Vidalia, LA 71373-2836 | 2016-07-05 |
| 1134367550 | Vidalia Orthopedic Center, LLC | Orthopaedic Surgery | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2009-01-22 |
| 1528224185 | Scott Orthopaedic and Spine Center LLC | Orthopaedic Surgery | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | 2008-08-04 |
| 1104017821 | Mark Spivey Orthopedic Clinic, LLC | Orthopaedic Surgery | 3301 E 1st St, Ste A, Vidalia, GA 30474-8674 | 2007-08-07 |
| 1336209550 | J H Fairbanks, Md Pllc | Orthopaedic Surgery | 107 Front St, Suite 230, Vidalia, LA 39120 | 2006-12-11 |
| 1669491288 | John H Fairbanks | Orthopaedic Surgery | 107 Front St, Suite 2134, Vidalia, LA 71373-2836 | 2006-07-18 |
| 1114915618 | James W. Fordyce | Orthopaedic Surgery | 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 | 2005-10-10 |
| Find all providers in VIDALIA | ||||
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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.