TATTNALL HOSPITAL COMPANY, LLC
NPI 1164742367
Orthopaedic Surgery in Claxton, GA

Q: What is Tattnall Hospital Company, LLC's NPI number?

The NPI number for Tattnall Hospital Company, LLC is 1164742367. It was assigned to this organization in the NPPES registry on June 10, 2010. The provider is doing business as Optim Medical Center Tattnall Claxton.

Q: What is Tattnall Hospital Company, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since June 10, 2010

602 E LONG ST, CLAXTON, GA 30417(800) 827-6536(912) 644-5260 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Jul 23, 2021, Sep 26, 2019 (3 updates tracked since 2019).

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About Tattnall Hospital Company, Llc NPPES

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

TATTNALL HOSPITAL COMPANY, LLC (NPI 1164742367), doing business as Optim Medical Center Tattnall Claxton, is a healthcare organization registered as an orthopaedic surgery in Claxton, Georgia and active in the NPI registry since June 2010. The organization lists David Alex Villa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164742367

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameTATTNALL HOSPITAL COMPANY, LLC

Location Address602 E LONG STClaxton, GA 30417-5914

Mailing Address440 Mall Blvd Ste CSavannah, GA 31406-4868 · (912) 644-3340 · Fax (912) 644-5398

Phone(800) 827-6536

Fax(912) 644-5260

Organization SubpartNo

Authorized OfficialDavid Alex VillaCeo · (912) 629-7797

Enumeration DateJune 10, 2010

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1164742367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

602 E LONG ST, Claxton, GA 30417

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Other Names 1

Doing Business AsOptim Medical Center Tattnall Claxton

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tattnall Hospital Company, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 49 clinicians reassign Medicare billing to Tattnall Hospital Company, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Orthopedic Surgery25

Nurse Practitioner11

Physical Medicine and Rehabilitation3

Family Practice2

Anesthesiology1

Diagnostic Radiology1

Hand Surgery1

Internal Medicine1

4 other specialties4

Nearest to this location (20)

See all 49

Paul Ray, PT-ECS

Physical Therapist in Private Practice

NPI 1578500609

247 S MAIN ST
Reidsville, GA 30453

(912) 557-1000

✔ Accepts Medicare14 mi

Sherry May, NP

Nurse Practitioner

NPI 1225273865

125 MEMORIAL DR
Reidsville, GA 30453

(912) 557-3434

✔ PECOS✔ Accepts Medicare14 mi

Cala Tanner

Nurse Practitioner

NPI 1114579331

125 MEMORIAL DR
Reidsville, GA 30453

(912) 644-5300

✔ PECOS✔ Accepts Medicare14 mi

Carol Alexander

Nurse Practitioner

NPI 1659922722

247 S MAIN ST
Reidsville, GA 30453

(912) 557-1000

✔ PECOS✔ Accepts Medicare14 mi

Lisa Anderson, FNP-BC

Nurse Practitioner

NPI 1790145258

1000B NORTH VETERANS BOULEVARD
Glennville, GA 30427

(912) 654-4599

✔ PECOS✔ Accepts Medicare15 mi

Joseph Hand, M.D.

Internal Medicine

NPI 1922057660

1002 N DOWNING MUSGROVE HWY
Glennville, GA 30427

(912) 654-4599

✔ PECOS✔ Accepts Medicare16 mi

Jana Bunch, BSN, RN, MSN, FNP-BC

Nurse Practitioner

NPI 1598901696

1000 B. NORTH VETERANS BLVD
Glennville, GA 30427

(912) 654-4599

✔ PECOS✔ Accepts Medicare17 mi

William Tankersley, MD

Orthopedic Surgery

NPI 1700850948

16915 HIGHWAY 67 SOUTH SUITE A
Statesboro, GA 30458

(912) 681-2500

✔ PECOS✔ Accepts Medicare18 mi

Jessica Reyes, MD

Anesthesiology

NPI 1942707591

16915 HIGHWAY 67 STE A
Statesboro, GA 30458

(912) 644-5300

✔ PECOS✔ Accepts Medicare18 mi

Erica Mcdaniel, NP-C

Nurse Practitioner

NPI 1114430774

17007 HIGHWAY 67
Statesboro, GA 30458

(912) 681-2500

✔ PECOS✔ Accepts Medicare18 mi

Joshua Wickstrom, MD

Family Practice

NPI 1275026908

380A CEDAR ST
Metter, GA 30439

(800) 827-6536

✔ PECOS✔ Accepts Medicare19 mi

Jordan Paynter

Orthopedic Surgery

NPI 1518315191

16915 HIGHWAY 67 STE A
Statesboro, GA 30458

(912) 681-2500

✔ PECOS✔ Accepts Medicare22 mi

Ronald Williams, MD

Otolaryngology

NPI 1184670036

1707 MEADOWS LN STE A
Vidalia, GA 30474

(912) 644-5300

✔ PECOS✔ Accepts Medicare29 mi

John Robison, MD

Orthopedic Surgery

NPI 1477055606

3301 E 1ST ST STE A
Vidalia, GA 30474

(312) 537-4411

✔ PECOS✔ Accepts Medicare30 mi

Joseph Hegarty, MD

Physical Medicine and Rehabilitation

NPI 1811942535

821 S MAIN ST STE C
Baxley, GA 31513

(912) 705-8040

✔ PECOS✔ Accepts Medicare37 mi

Jennifer Skinner

Nurse Practitioner

NPI 1144957671

821 S MAIN ST STE C
Baxley, GA 31513

(912) 644-5300

✔ PECOS✔ Accepts Medicare37 mi

Jay Cook, M.D.

Orthopedic Surgery

NPI 1790913622

110 PROFESSIONAL CT
Jesup, GA 31545

(912) 427-0800

✔ PECOS✔ Accepts Medicare39 mi

Prakul Chandra, MD

Family Practice

NPI 1497911937

961 E WINTHROPE AVE
Millen, GA 30442

(478) 982-0120

✔ PECOS44 mi

Gregory Kolovich, M.D.

Hand Surgery

NPI 1376849877

210 E DERENNE AVE
Savannah, GA 31405

(912) 644-5300

✔ PECOS✔ Accepts Medicare47 mi

Ruben Diaz, MD

Interventional Pain Management

NPI 1194751024

322 STEPHENSON AVE STE A
Savannah, GA 31405

(912) 721-2262

✔ PECOS✔ Accepts Medicare48 mi

See all 49 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tattnall Hospital Company, LLC's NPI number?

The NPI number for Tattnall Hospital Company, LLC is 1164742367. It was assigned to this organization in the NPPES registry on June 10, 2010. The provider is doing business as Optim Medical Center Tattnall Claxton.

Where is Tattnall Hospital Company, LLC located?

Tattnall Hospital Company, LLC is located at 602 E Long St, Claxton, GA 30417. The listed phone number is (800) 827-6536.

What is Tattnall Hospital Company, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Tattnall Hospital Company, LLC enrolled in Medicare?

Yes. Tattnall Hospital Company, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tattnall Hospital Company, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 12 Medicare specialties reassign their Medicare billing to Tattnall Hospital Company, LLC. 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. The largest specialties are Orthopedic Surgery (25), Nurse Practitioner (11) and Physical Medicine and Rehabilitation (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tattnall Hospital Company, LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.