TATTNALL HOSPITAL COMPANY, LLC
NPI 1285132415
Clinic/Center - Rural Health in Metter, GA

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

The NPI number for Tattnall Hospital Company, LLC is 1285132415. It was assigned to this organization in the NPPES registry on January 23, 2018. The provider is doing business as Optim Primary Care Metter.

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

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

Active since January 23, 2018CLIA 11D2154218 · Waiver

380A CEDAR ST, METTER, GA 30439(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: August 16, 2026.

Record update history: Jan 8, 2026, Nov 20, 2025, Aug 10, 2018 (3 updates tracked since 2018).

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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 1285132415), doing business as Optim Primary Care Metter, is a healthcare organization registered as a rural health in Metter, Georgia and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists David Alex Villa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285132415

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameTATTNALL HOSPITAL COMPANY, LLC

Location Address380A CEDAR STMetter, GA 30439

Mailing Address440 Mall Blvd Ste CSavannah, GA 31406-4868 · (912) 629-3527 · Fax (912) 644-3369

Phone(800) 827-6536

Fax(912) 644-5260

Organization SubpartYes

Authorized OfficialDavid Alex VillaCeo · (912) 629-7797

Enumeration DateJanuary 23, 2018

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1285132415 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

380A CEDAR ST, Metter, GA 30439

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Other Names 1

Doing Business AsOptim Primary Care Metter

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 11D2154218

Tattnall Hospital Company Optim Primary Care - Metter · Metter, GA

Active · expires Sep 9, 2026

CLIA Number11D2154218

Laboratory TypeRural Health Clinic

Certificate Effective DateSeptember 10, 2024

Certificate Expiration DateSeptember 9, 2026

Laboratory DirectorJoshua Wickstrom

Laboratory Phone(912) 685-2111

Laboratory LocationTattnall Hospital Company Optim Primary Care - Metter380 A Cedar Street, Metter, GA 30439

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JOSHUA JAMES WICKSTROM MD

Family Medicine

380A CEDAR ST
METTER, GA 30439

Candler County (800) 827-6536

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 1285132415. It was assigned to this organization in the NPPES registry on January 23, 2018. The provider is doing business as Optim Primary Care Metter.

Where is Tattnall Hospital Company, LLC located?

Tattnall Hospital Company, LLC is located at 380A Cedar St, Metter, GA 30439. The listed phone number is (800) 827-6536.

What is Tattnall Hospital Company, LLC's specialty?

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

Does Tattnall Hospital Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2154218) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tattnall Hospital Company, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tattnall Hospital Company, 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 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 7 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.