TATTNALL HOSPITAL COMPANY LLC (NPI# 1598033102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598033102 |
| Entity Type | Organization |
| Organization Name | TATTNALL HOSPITAL COMPANY LLC |
| Other Organization Name | OPTIM ORTHOPEDICS |
| Practice Address |
16915 Highway 67 Suite A Statesboro GA 30458-5819 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 9126812500 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | MR. ROBERT GUENTHNER (SECRETARY OF COMM.HOSP.HOLD.CO., LL) |
| Authorized Official Telephone | 3126278247 |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|---|
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1134573660 | Tattnall Hospital Company LLC | Physical Therapist | 810 Towne Park Dr, Suite 200, Rincon, GA 31326-5171 | 2016-04-21 |
| 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 |
| 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 |
| 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 |
| 1104060987 | Tattnall Hospital Company, LLC | Radiologic Technologist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-04-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1346510542 | Jenkins County Hospital LLC | Orthopaedic Surgery | 16915 Hwy 27 South, Suite A, Statesboro, GA 30458 | 2012-01-04 |
| 1770809170 | Frederick Matthew Laun | Orthopaedic Surgery | 102 Turkey Trail, Statesboro, GA 30458-0328 | 2010-04-12 |
| 1700850948 | William Stephen Tankersley | Orthopaedic Surgery | 16915 Highway 67 South, Suite A, Statesboro, GA 30458 | 2006-02-15 |
| 1801280664 | Optim Orthopedics, LLC | Orthopaedic Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2015-03-19 |
| 1790786820 | Kenneth Allan Johnson | Orthopaedic Surgery | 1601 Fair Rd, Suite 300, Statesboro, GA 30458-1698 | 2005-08-10 |
| 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 | ||||
| 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.