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OPTIM MEDICAL CENTER - SCREVEN
NPI 1083915524
Medicare Defined Swing Bed Unit in Sylvania, GA

Active since November 16, 2010CLIA 11D0021371 · Certificate of Compliance
215 MIMS RD, SYLVANIA, GA 30467(912) 564-7426(912) 564-0010 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2024, Aug 22, 2024 (2 updates tracked since 2024).

About Optim Medical Center - Screven NPPES

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

OPTIM MEDICAL CENTER - SCREVEN (NPI 1083915524) is a healthcare organization registered as a medicare defined swing bed unit in Sylvania, Georgia and active in the NPI registry since November 2010. The organization holds a CLIA Certificate of Compliance certificate valid through July 6, 2027 and lists David Alex Villa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083915524
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameSCREVEN COUNTY HOSPITAL LLC
Location Address215 MIMS RDSylvania, GA 30467-1994
Mailing Address460 Mall Blvd Ste BSavannah, GA 31406-4891 · (912) 644-5300 · Fax (912) 644-5260
Phone(912) 564-7426
Fax(912) 564-0010
Organization SubpartNo
Authorized OfficialDavid Alex VillaCeo · (760) 468-7765
Enumeration DateNovember 16, 2010
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1083915524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in GA · 124-164
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
215 MIMS RD, Sylvania, GA 30467
Open in Google Maps ↗

Other Names 1

Doing Business AsOptim Medical Center - Screven

Other Identifiers 1

Medicaid000001647SGA

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 Compliance 11D0021371

Screven County Hospital, LLC Dba Optim Health - Screven · Sylvania, GA
Active · expires Jul 6, 2027
CLIA Number11D0021371
Laboratory TypeHospital
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorRobert K. Wade
Laboratory Phone(912) 564-5290
Laboratory LocationScreven County Hospital, LLC Dba Optim Health - Screven215 Mims Road, Sylvania, GA 30467
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

DAKOTA MICHELLE LEE RN
Registered Nurse
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 451-3000
MRS. MYLISSA MCGAHA GREGORY PA-C
Physician Assistant
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426
ASHLYN NICOLE BAZEMORE LPN
Licensed Practical Nurse
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426
SOUTHLAND OPTIM SCREVEN EMERGENCY MEDICAL SERVICES LLC
Emergency Medicine
215 MIMS RD
SYLVANIA, GA 30467
Screven County (229) 236-0831
MRS. SHANNON M THOMAS CRNA
Nurse Anesthetist, Certified Registered
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-5253
MRS. ANNE DAVIS NP
Nurse Practitioner
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 451-3000
SCREVEN COUNTY HOSPITAL, LLC
General Acute Care Hospital (Critical Access)
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426
SCREVEN COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426

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 1083915524. It was assigned to this organization in the NPPES registry on November 16, 2010. The provider is doing business as Optim Medical Center - Screven.

Where is Screven County Hospital LLC located?

Screven County Hospital LLC is located at 215 Mims Rd, Sylvania, GA 30467. The listed phone number is (912) 564-7426.

What is Screven County Hospital LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Screven County Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0021371) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Screven County Hospital LLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.