TATTNALL HOSPITAL COMPANY, LLC (NPI# 1033363064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033363064 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Other Organization Name | OPTIM SURGERY CENTER |
| Practice Address |
210 E. Derenne Ave Savannah GA 31405 |
| Mailing Address |
Po Box 102764 Atlanta GA 30368-2764 |
| Practice Telephone | 9126445300 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2015-07-24 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optim Surgery Center | 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 |
210 E. DERENNE AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661268 | Timothy Warren Phillips | Neurological Surgery | 210 E. Derenne Ave, Savannah, GA 31405 | 2005-07-07 |
| 1518177559 | George B Sutherland Jr. | Orthopaedic Surgery | 210 E. Derenne Ave, Savannah, GA 31405 | 2007-05-22 |
| 1588606180 | Claudia M. Day | Registered Nurse | 210 E. Derenne Ave, Savannah, GA 31405-6736 | 2006-06-11 |
| 1447208970 | Stacey L Mckenzie | Physical Therapist | 210 E. Derenne Ave, Savannah, GA 31405 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549676 | Chatham Orthopaedic Asc, LLC | Clinic/Center | 4425 Paulsen St Bldg B2nd, Savannah, GA 31405-3662 | 2018-02-22 |
| 1184976599 | Savannah Foot and Ankle Surgery Center LLC | Clinic/Center | 310 Eisenhower Dr Ste 7, Savannah, GA 31406-2632 | 2012-10-09 |
| 1679792931 | Georgette Backus Bragg | Clinic/Center | 101 Egret Pt, Savannah, GA 31405-8111 | 2007-04-25 |
| 1437242211 | Georgia Center for Digestive Diseases, LLC | Clinic/Center | 501 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-10-02 |
| 1730170564 | Savannah Partners, LLC | Clinic/Center | 13040 Abercorn Street, Suite 2, Savannah, GA 31419 | 2005-11-01 |
| 1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
| 1457892986 | Savannah Endoscopy Center, LLC | Clinic/Center | 1139 Lexington Ave, Suite B, Savannah, GA 31404-5502 | 2017-03-16 |
| 1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
| 1982044707 | Southeast Spine Center, LLC | Clinic/Center | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2013-06-25 |
| 1194068478 | South East Spone Care & Pain Mgmt | Clinic/Center | 7450 Skidaway Rd, Suite B, Savannah, GA 31406 | 2013-04-04 |
| Find all providers in SAVANNAH | ||||
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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.