TATTNALL HOSPITAL COMPANY LLC (NPI# 1134573660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134573660 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY LLC |
| Other Organization Name | OPTIM THERAPY - RINCON |
| Practice Address |
810 Towne Park Dr Suite 200 Rincon GA 31326-5171 |
| Mailing Address |
460 Mall Blvd Suite B Savannah GA 31406-4801 |
| Practice Telephone | 9128262533 |
| Practice Fax Number | 9128262572 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | TERRY L CRAIG (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 9126445346 |
| Is Organization Subpart | Y |
| Parent Organization Name | TATTNALL HOSPITAL COMPANY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optim Therapy - Rincon | Doing Business As Name - Organization |
| Optim Therapy Center- Rincon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1992072722 | Tattnall Hospital Company LLC | Psychiatry & Neurology | 16 Okatie Center Blvd S, Suite 201, Okatie, SC 29909-7533 | 2011-11-22 |
| 1023253408 | Tattnall Hospital Company LLC | Internal Medicine | 36671 Hwy 23, Cobbtown, GA 30420-6042 | 2008-12-12 |
| 1821607359 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2020-07-30 |
| 1578197331 | Tattnall Hospital Company LLC | Neurological Surgery | 42 Truman Rd, Hawkinsville, GA 31036-4644 | 2020-03-02 |
| 1114551975 | Tattnall Hospital Company LLC | Neurological Surgery | 425 N Cobb St, Milledgeville, GA 31061-2634 | 2020-03-02 |
| 1902430457 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 305 Pineview Dr, Waycross, GA 31501-5229 | 2020-02-24 |
| 1750890562 | Tattnall Hospital Company LLC | Neurological Surgery | 121 N Crest Blvd, Macon, GA 31210-1845 | 2017-09-25 |
| 1255877361 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 11 Cross St, Hazlehurst, GA 31539-6427 | 2017-01-12 |
| 1477909364 | Tattnall Hospital Company LLC | Physical Therapist | 3301 E 1st St, Suite B, Vidalia, GA 30474-8674 | 2016-05-10 |
| Street Address |
810 TOWNE PARK DR SUITE 200 |
| City | RINCON |
| State | GA |
| Zip Code | 31326-5171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657160 | Vitality Counseling, Inc | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326 | 2018-01-29 |
| 1174045322 | Katelyn Dodsworth Sundin | Dentist | 5871 Ga-21 S, Rincon, GA 31326 | 2017-07-10 |
| 1861943284 | Covenant Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Goshen Commercial Park Dr., Rincon, GA 31326 | 2016-10-20 |
| 1013465681 | Aaron D. Webb | Nurse Practitioner | 423 S Columbia Avenue, Rincon, GA 31326 | 2016-09-13 |
| 1659726255 | Reagan Reese Powell | Counselor | 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 | 2016-05-02 |
| 1982065652 | Shronda Bowman | Specialist | 1214n Columbia Ave, Unit B, Rincon, GA 31326 | 2016-03-09 |
| 1306202890 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 461 S Columbia Ave, Rincon, GA 31326 | 2016-01-13 |
| 1053628255 | Jennifer Erin Creech | Dentist | 429 S Columbia Ave, Rincon, GA 31326 | 2010-09-09 |
| 1548596737 | Rincon Medical Center | Clinic/Center | 119 Chimney Road, Rincon, GA 31326 | 2009-10-23 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| Find all providers in zip 31326 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639137128 | Effingham Rehab Services, LLC | Clinic/Center | 804 Towne Park Dr Ste 400, Rincon, GA 31326 | 2006-05-03 |
| 1144743824 | Effingham Rehab Services, Inc | Clinic/Center | 804 Towne Park Dr Ste 400, Rincon, GA 31326-5153 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| 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.