JENKINS COUNTY HOSPITAL LLC (NPI# 1417225020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417225020 |
| Entity Type | Organization |
| Organization Name | JENKINS COUNTY HOSPITAL LLC |
| Other Organization Name | OPTIM MEDICAL CENTER - JENKINS |
| Practice Address |
960 College Ave Millen GA 30442-1634 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 9126812500 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. ROBERT GUENTHNER (SECRETARY OF SCREVEN COUNTY HOSPITA) |
| Authorized Official Telephone | 3126278247 |
| 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 - Jenkins | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510542 | Jenkins County Hospital LLC | Orthopaedic Surgery | 16915 Hwy 27 South, Suite A, Statesboro, GA 30458 | 2012-01-04 |
| 1811264625 | Jenkins County Hospital LLC | Orthopaedic Surgery | 209a Mims Rd, Sylvania, GA 30467-1994 | 2011-11-22 |
| 1063722924 | Jenkins County Hospital LLC | Surgery | 115 Gillikin St, Twin City, GA 30471-3989 | 2010-10-13 |
| 1275800088 | Jenkins County Hospital LLC | Orthopaedic Surgery | 620 Sparta Rd, Sandersville, GA 31082-1803 | 2011-11-22 |
| 1225333263 | Jenkins County Hospital LLC | Internal Medicine | 532 College Ave, Millen, GA 30442-1602 | 2011-01-24 |
| 1821308834 | Jenkins County Hospital LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-10-12 |
| 1497064679 | Jenkins County Hospital LLC | General Acute Care Hospital | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| 1124337308 | Jenkins County Hospital LLC | Medicare Defined Swing Bed Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| Street Address |
960 COLLEGE AVE |
| City | MILLEN |
| State | GA |
| Zip Code | 30442-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336456342 | Jenkins County Hospital | Surgery | 960 College Ave, Millen, GA 30442-1634 | 2010-09-13 |
| 1487048153 | Optim Orthopedics, LLC | Orthopaedic Surgery | 960 College Ave, Millen, GA 30442-1634 | 2015-03-20 |
| 1366864910 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 960 College Ave, Millen, GA 30442-1634 | 2014-01-16 |
| 1659638427 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 960 College Ave, Millen, GA 30442-1634 | 2012-04-18 |
| 1508141540 | Screven County Family Health Center, LLC | Surgery | 960 College Ave, Millen, GA 30442-1634 | 2011-10-20 |
| 1386954394 | Jenkins County Hosptial LLC | Surgery | 960 College Ave, Millen, GA 30442-1634 | 2010-10-12 |
| 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 |
| 1033186648 | Edmund Gordon Byne | Family Medicine | 961 E Winthrope Ave, Millen, GA 30442 | 2006-03-02 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1225491970 | Optim Orthopedics, LLC | Orthopaedic Surgery | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2016-03-31 |
| 1487048153 | Optim Orthopedics, LLC | Orthopaedic Surgery | 960 College Ave, Millen, GA 30442-1634 | 2015-03-20 |
| 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.