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SCREVEN COUNTY HOSPITAL LLC
NPI 1033428214
Clinic/Center - Rural Health in Millen, GA

Active since October 05, 2010CLIA 11D2045335 · Waiver
961 E WINTHROPE AVE, MILLEN, GA 30442(478) 982-9081(478) 982-8843 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2025, Dec 6, 2024, Aug 22, 2024 and 2 more (5 updates tracked since 2017).

About Screven County Hospital Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCREVEN COUNTY HOSPITAL LLC (NPI 1033428214), doing business as Optim Primary Care Millen, is a healthcare organization registered as a rural health in Millen, Georgia and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through August 9, 2026 and lists David Alex Villa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033428214
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSCREVEN COUNTY HOSPITAL LLC
Location Address961 E WINTHROPE AVEMillen, GA 30442-1839
Mailing Address460 Mall Blvd Ste BSavannah, GA 31406-4891 · (912) 644-1626 · Fax (912) 644-3369
Phone(478) 982-9081
Fax(478) 982-8843
Organization SubpartNo
Authorized OfficialDavid Alex VillaCeo · (505) 695-9410
Enumeration DateOctober 5, 2010
Last NPPES UpdateNovember 20, 20255 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1033428214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
961 E WINTHROPE AVE, Millen, GA 30442
Open in Google Maps ↗

Other Names 1

Doing Business AsOptim Primary Care Millen

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2045335

Screven County Hospital, LLC D/B/A Optim Primary Care - Millen · Millen, GA
Active · expires Aug 9, 2026
CLIA Number11D2045335
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorDr. Prakul Chandra
Laboratory Phone(912) 644-5368
Laboratory LocationScreven County Hospital, LLC D/B/A Optim Primary Care - Millen961 East Winthrope Avenue, Millen, GA 30442
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOYCE ROSS-MOORE
Nurse Practitioner (Family)
961 E WINTHROPE AVE
MILLEN, GA 30442
Jenkins County (478) 982-0120
TATTNALL HOSPITAL COMPANY, LLC
Pain Medicine (Pain Medicine)
961 E WINTHROPE AVE
MILLEN, GA 30442
Jenkins County (478) 982-0120
MS. JODI BRANNEN GILMER PA-C
Physician Assistant
961 E WINTHROPE AVE
MILLEN, GA 30442
Jenkins County (478) 982-0120
OPTIM ORTHOPEDICS, LLC
Orthopaedic Surgery
961 E WINTHROPE AVE
MILLEN, GA 30442
Jenkins County (478) 982-1500
PRAKUL CHANDRA MD
Family Medicine
961 E WINTHROPE AVE
MILLEN, GA 30442
Jenkins County (478) 982-0120
WILLIAM J. PANERAL PA
Physician Assistant (Surgical)
961 E WINTHROPE AVE
MILLEN, GA 30442
Jenkins County (706) 294-2196

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Screven County Hospital LLC's NPI number?

The NPI number for Screven County Hospital LLC is 1033428214. It was assigned to this organization in the NPPES registry on October 5, 2010. The provider is doing business as Optim Primary Care Millen.

Where is Screven County Hospital LLC located?

Screven County Hospital LLC is located at 961 E Winthrope Ave, Millen, GA 30442. The listed phone number is (478) 982-9081.

What is Screven County Hospital LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Screven County Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2045335) is associated with this NPI, valid through August 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Screven County Hospital LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Screven County Hospital LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Screven County Hospital LLC was last updated on November 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.