OPTIM ORTHOPEDICS, LLC (NPI# 1467845404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467845404 |
| Entity Type | Organization |
| Organization Name | OPTIM ORTHOPEDICS, LLC |
| Other Organization Name | OPTIM ORTHOPEDICS |
| Practice Address |
166 Memorial Dr Jesup GA 31545-0101 |
| Mailing Address |
210 E Derenne Ave Attn.: Provider Enrollment Savannah GA 31405-6736 |
| Practice Telephone | 9124270800 |
| Practice Fax Number | 9124276029 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | MIKE BUTLER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTIM ORTHOPEDICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1730573841 | Optim Orthopedics, LLC | Orthopaedic Surgery | 810 Towne Park Dr Ste 200, Rincon, GA 31326-5167 | 2015-03-26 |
| 1194118133 | Optim Orthopedics, LLC | Orthopaedic Surgery | 110 E Tollison St, Baxley, GA 31513-0122 | 2015-03-16 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1033676515 | Optim Orthopedics, LLC | Orthopaedic Surgery | 602 E Long St, Claxton, GA 30417-5914 | 2019-02-21 |
| 1225492341 | Optim Orthopedics, LLC | Orthopaedic Surgery | 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313-3915 | 2016-04-06 |
| 1225491970 | Optim Orthopedics, LLC | Orthopaedic Surgery | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2016-03-31 |
| 1306211529 | Optim Orthopedics, LLC | Orthopaedic Surgery | 821 S Main St, Suite C, Baxley, GA 31513-0164 | 2015-12-14 |
| 1134598477 | Optim Orthopedics, LLC | Orthopaedic Surgery | 1126 W 12th St, Alma, GA 31510-1814 | 2015-09-16 |
| Street Address |
166 MEMORIAL DR |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962739086 | Richard J. Lewis, D.o., P.C. | Obstetrics & Gynecology | 166 Memorial Dr, Jesup, GA 31545-0101 | 2009-11-10 |
| 1588060446 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 166 Memorial Dr, Jesup, GA 31545-0101 | 2014-11-05 |
| 1336558550 | Tattnall Hospital Company, LLC | Neurological Surgery | 166 Memorial Dr, Jesup, GA 31545-0101 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790812451 | John Lex Kenerly, IIi, Md | Orthopaedic Surgery | 811 S 1st St, Jesup, GA 31545-0209 | 2007-02-28 |
| 1699772228 | J Lex Kenerly IIi | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2005-06-28 |
| 1851730626 | Wayne Sjc Medical Group, LLC | Orthopaedic Surgery | 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 | 2013-06-14 |
| 1790913622 | Jay Brandon Cook | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2009-06-30 |
| 1447472048 | John Matthew Valosen | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2007-05-03 |
| 1528104510 | Bone and Joint Institute of South Georgia, P.C. | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2007-01-29 |
| 1356432306 | William Scott Rowell | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2006-09-27 |
| 1285734848 | Amber Bartlett Aragon | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2006-09-24 |
| 1013026244 | Douglas P Hein | Orthopaedic Surgery | 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OPTIM ORTHOPEDICS, LLC.
| 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.