TATTNALL HOSPITAL COMPANY, LLC (NPI# 1720322464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720322464 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Other Organization Name | OPTIM PRIMARY CARE-HAZLEHURST |
| Practice Address |
38 S. Tallahassee Street Suite B Hazlehurst GA 31539 |
| Mailing Address |
210 E. Derenne Ave Savannah GA 31405 |
| Practice Telephone | 9125519018 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | MICHAEL W. KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | Y |
| Parent Organization Name | TATTNALL HOSPITAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Primary Care-Hazlehurst | 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 |
| 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 |
| 1356579296 | Tattnall Hospital Company, LLC | Physician Assistant | 230 Industrial Blvd, Dublin, GA 31021 | 2009-06-30 |
| Street Address |
38 S. TALLAHASSEE STREET SUITE B |
| City | HAZLEHURST |
| State | GA |
| Zip Code | 31539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536646 | Eric Wayne Carelock | Registered Nurse | 209 S Tallahassee St P O Box 770, Hazlehurst, GA 31539 | 2017-09-04 |
| 1003112376 | Rogers W Wood Jr. | Pharmacist | 54 E Jarman St, Hazlehurst, GA 31539 | 2011-02-04 |
| 1235361015 | Kirk Alessandro Munsayac | Family Medicine | 22 Cross Street, Hazlehurst, GA 31539 | 2009-08-13 |
| 1629135355 | Janie W Baxter | Chiropractor | 171 Burketts Ferry Road, Hazlehurst, GA 31539 | 2007-01-02 |
| 1003304981 | Jennifer Lynn Lowe | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539 | 2018-04-26 |
| 1760708580 | Jason Laney | Internal Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539 | 2010-04-19 |
| 1770889040 | Chips Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 240 S. Tallahassee St., Hazlehurst, GA 31539-0571 | 2011-02-04 |
| 1568730760 | David L Turfler Md PC | Family Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539-0770 | 2011-12-02 |
| 1912902263 | Hospital Authority of Jeff Davis County Georgia | General Acute Care Hospital | 163 S Tallahassee St, Hazlehurst, GA 31539-1690 | 2005-06-14 |
| 1073798401 | Southeast Georgia Homehealth Care Inc. | Home Health | 256 Satilla Church Rd, Hazlehurst, GA 31539-4442 | 2008-01-03 |
| Find all providers in zip 31539 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235361015 | Kirk Alessandro Munsayac | Family Medicine | 22 Cross Street, Hazlehurst, GA 31539 | 2009-08-13 |
| 1356495238 | David J. Ellis, Do, LLC | Family Medicine | 143 S Tallahassee St, Hazlehurst, GA 31539-6466 | 2007-01-22 |
| 1235231606 | Randy Hankins | Family Medicine | 213 Caldwell Dr, Hazlehurst, MS 39083-2711 | 2006-09-05 |
| 1891897260 | Fred J Mcdonnell | Family Medicine | 213 Caldwell Drive, Hazlehurst, MS 39083 | 2006-09-05 |
| 1619972155 | David L Turfler | Family Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539-6025 | 2005-06-20 |
| 1902808967 | Alejandro F Pernett | Family Medicine | 9 Hester St, Hazlehurst, GA 31539-6323 | 2005-06-02 |
| 1063415081 | Frank Arthur Bixler | Family Medicine | 15 Yarbrough St, Hazlehurst, GA 31539-6341 | 2005-05-23 |
| 1154975647 | Preston Allen Crawford | Family Medicine | 9 Hester St, Hazlehurst, GA 31539-6323 | 2019-08-01 |
| 1376068064 | Munsayac Health LLC | Family Medicine | 22 Cross St, Hazlehurst, GA 31539-6426 | 2017-08-03 |
| 1568730760 | David L Turfler Md PC | Family Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539-0770 | 2011-12-02 |
| Find all providers in HAZLEHURST | ||||
| City | HAZLEHURST |
| Zip Code | 31539 |
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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.