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: November 01, 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
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

Other Names 1

Doing Business AsOptim Medical Center - Screven

Other Identifiers 1

Medicaid000001647SGA

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)

Optim Medical Center - Screven is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Optim Medical Center - Screven, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1679516777
105 ROCKY FORD RD
Sylvania, GA 30467
(912) 564-7133
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1992940258
105 ROCKY FORD RD
Sylvania, GA 30467
(912) 564-7133
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1497911937
961 E WINTHROPE AVE
Millen, GA 30442
(478) 982-0120
✔ PECOS17 mi
Diagnostic Radiology
NPI 1790720779
618 FREDERICK DR
Cleveland, MS 38732
(662) 299-2999
✔ PECOS531 mi

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 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.

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.

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), 4 clinicians reassign their Medicare billing to Screven County Hospital LLC, in Diagnostic Radiology, Family Practice and Nurse Practitioner. 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 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 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.

What insurance does Screven County Hospital LLC accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health 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 December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.