SCREVEN COUNTY HOSPITAL LLC
NPI 1033428214
Clinic/Center - Rural Health in Millen, GA
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, 2028 and lists David Alex Villa, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Screven County Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Screven County Hospital LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Screven County Hospital LLC enrolled in Medicare?
Yes. Screven County Hospital LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Screven County Hospital LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians reassign their Medicare billing to Screven County Hospital LLC, in Diagnostic Radiology, Emergency Medicine, Family Practice, Internal Medicine, Nurse Practitioner and 2 other specialties. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Screven County Hospital LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Screven County Hospital Llc · NPI 1033428214
Rural Health organization in Millen, Georgia. Organization record, active in the CMS NPPES registry since October 5, 2010.
## Identity
- **NPI:** 1033428214 (Entity type: Organization)
- **Enumerated:** October 5, 2010
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Optim Primary Care Millen (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Alex Villa, CEO
## Practice location
- **Address:** 961 E WINTHROPE AVE, Millen, GA 30442-1839
- **Phone:** (478) 982-9081 · **Fax:** (478) 982-8843
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Diagnostic Radiology (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033428214) · Data from the CMS NPPES public registry.