TATTNALL HOSPITAL COMPANY, LLC (NPI# 1104060987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104060987 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Other Organization Name | THE DOCTOR'S HOSPITAL OF TATTNALL |
| Practice Address |
16915 Highway 67 Suite A Statesboro GA 30458-5819 |
| Practice Telephone | 9126445300 |
| Mailing Telephone | 9126445300 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | MICHAEL W. KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| The Doctor's Hospital of Tattnall | 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 |
16915 HIGHWAY 67 SUITE A |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376717819 | Bryan K. Sowell | Physical Therapist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2008-04-16 |
| 1134670771 | Kelcie Walker | Occupational Therapist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2016-10-19 |
| 1669826194 | Tattnall Hospital Company LLC | Physical Therapist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2016-04-21 |
| 1801280664 | Optim Orthopedics, LLC | Orthopaedic Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2015-03-19 |
| 1326310772 | Costrini & Meadows, PC | Internal Medicine | 16915 Highway 67, Statesboro, GA 30458-5819 | 2012-02-01 |
| 1598033102 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-12-09 |
| 1124303177 | Screven County Family Health Center, LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-10-20 |
| 1821308834 | Jenkins County Hospital LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-10-12 |
| 1477860906 | Jenkins County Hospital | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-09-03 |
| 1699004903 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125227 | Svitlana N Payne | Radiologic Technologist | 593 Kelly Farm Rd, Newnan, GA 30265-1416 | 2020-05-09 |
| 1023416476 | Elizabeth Figueroa | Radiologic Technologist | 2521 Brighton Trl, Jonesboro, GA 30236-8806 | 2014-12-17 |
| 1720325087 | Jennifer Averett | Radiologic Technologist | 113a Fairview Park Dr, Dublin, GA 31021-2501 | 2013-01-07 |
| 1972740884 | Open Mri of Brunswick LLC | Radiologic Technologist | 2414 Parkwood Dr, Suite 100, Brunswick, GA 31520-4779 | 2009-01-14 |
| 1164599353 | Vidalia Open Mri, LLC | Radiologic Technologist | 3165 E 1st St, Vidalia, GA 30474-8830 | 2006-11-30 |
| 1477586568 | Dunwoody Imaging, LLC | Radiologic Technologist | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2006-07-09 |
| 1376984658 | Lloyd George Collins Jr. | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2013-07-15 |
| 1679812432 | Ashley Danielle Radford | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1441 | 2013-02-13 |
| 1538479043 | Russell Scott Gibson | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1441 | 2010-10-18 |
| 1164646139 | Orthoatlanta, LLC | Radiologic Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.