TATTNALL HOSPITAL COMPANY, LLC (NPI# 1679907315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679907315 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Other Organization Name | OPTIM PRIMARY CARE- DARIEN |
| Practice Address |
1101 North Way Darien GA 31305-9141 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 9126445300 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | MR. ROBERT GUENTHNER (SECRETARY OF COMM. HOSP.HOLD. CO.,) |
| Authorized Official Telephone | 3126278427 |
| Is Organization Subpart | Y |
| Parent Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optim Primary Care- Darien | 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 |
1101 NORTH WAY |
| City | DARIEN |
| State | GA |
| Zip Code | 31305-9141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982675914 | Cyndi B Faudree | Nurse Practitioner | 1101 North Way, Darien, GA 31305-9141 | 2006-01-28 |
| 1376937144 | Optim Orthopedics, LLC | Orthopaedic Surgery | 1101 North Way, Darien, GA 31305-9141 | 2015-03-19 |
| 1881008902 | Ronald Faudree | Nurse Practitioner | 1101 North Way, Darien, GA 31305-9141 | 2014-06-17 |
| 1174950729 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 1101 North Way, Darien, GA 31305-9141 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568952851 | We Care 4 U Home Care LLC | In Home Supportive Care | 1838 Blount Crossing, Unit B, Darien, GA 31305 | 2018-05-14 |
| 1871039156 | Mcintosh Chiropratic | Chiropractor | 208 Fort King George Dr, Darien, GA 31305 | 2017-01-11 |
| 1447641519 | Lisa Trexler | Dentist | 304 1st St W, Darien, GA 31305 | 2015-02-11 |
| 1154729333 | Katie C Daniels | Psychologist | 1119 Old River Rd, Darien, GA 31305 | 2014-12-19 |
| 1770984742 | Saajidah Harris | Community Based Residential Treatment Facility, Mental Illness | 509 Alabama Street ( Box 731, Darien, GA 31305 | 2014-09-10 |
| 1053661835 | Darien Women's Health | Counselor | 1135 North Way Ste E, Darien, GA 31305 | 2012-09-19 |
| 1629358809 | Martha Jane Thompson | Counselor | 1135 North Way, Suite E, Darien, GA 31305 | 2011-08-19 |
| 1902062086 | Dorothy Nanette Manning | Nurse Practitioner | 1200 Highway 251, Darien, GA 31305 | 2008-07-29 |
| 1841352812 | Roberta Jean Tinnin | Physical Therapist | 1225 F Northway, Darien, GA 31305 | 2006-12-15 |
| 1083728810 | Glenn Sasser | Dentist | 304 First Street, Darien, GA 31305 | 2006-08-18 |
| Find all providers in zip 31305 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| 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.