OPT4WELLNESS, LLC (NPI# 1871087627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871087627 |
| Entity Type | Organization |
| Organization Name | OPT4WELLNESS, LLC |
| Practice Address |
2039 10th Ave Columbus GA 31901-1459 |
| Mailing Address |
350 Old Gate Rd Midland GA 31820-4777 |
| Practice Telephone | 7065665764 |
| Practice Fax Number | 7065664377 |
| Mailing Telephone | 7065804059 |
| Mailing Fax Number | 7065664377 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | DR. STANLEY WAYNE HIMES (CEO/OWNER) |
| Authorized Official Telephone | 7065804059 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 33839 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2039 10TH AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093759573 | Thomas N Malone | Obstetrics & Gynecology | 2039 10th Ave, Columbus, GA 31901-1459 | 2006-06-15 |
| 1487204012 | Kt Malone Staffing | Nursing Care | 2039 10th Ave, Columbus, GA 31901-1459 | 2019-09-16 |
| 1558691584 | Letitia Lorraine Houston | Physician Assistant | 2039 10th Ave, Columbus, GA 31901-1459 | 2010-01-14 |
| 1225183379 | Thomas N. Malone M.d. P.C. | Obstetrics & Gynecology | 2039 10th Ave, Columbus, GA 31901-1459 | 2007-01-25 |
| 1912015140 | Thomas Michael Malone | Obstetrics & Gynecology | 2039 10th Ave, Columbus, GA 31901-1459 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023577319 | Shilpa Sridhar | Internal Medicine | 720 W 3rd Ave Apt 335, Columbus, OH 43212-3162 | 2019-03-15 |
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1174051809 | Melissa Christine Kander | Internal Medicine | 4830 Knightsbridge Blvd Ste A, Columbus, OH 43214-2300 | 2017-05-25 |
| 1831623115 | Sumiya Ahmed | Internal Medicine | 23203 Columbus Rd Ste I, Columbus, NJ 08022-1985 | 2017-04-13 |
| 1699209023 | Karenpreet Brar | Internal Medicine | 4310 Clime Rd Ste A, Columbus, OH 43228-3496 | 2017-04-12 |
| 1194173864 | Nishant Dagli | Internal Medicine | 50 N Wilson Rd, Columbus, OH 43204-1214 | 2016-06-02 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1013379080 | Melissa Lau | Internal Medicine | 395 W 12th Avenue, Third Floor, Columbus, OH 43210-1240 | 2016-03-28 |
| 1285096453 | Katherine Frances Ernst | Internal Medicine | 1405 S High St, Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43207-1043 | 2016-03-25 |
| Find all providers in COLUMBUS | ||||
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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.