TATTNALL HOSPITAL COMPANY, LLC
NPI 1285893818
Clinic/Center - Rural Health in Reidsville, GA

Active since June 09, 2008CLIA Certified · 2 labs
125 MEMORIAL DRIVE, REIDSVILLE, GA 30453(912) 557-3434(912) 557-6760 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2026, Nov 20, 2025 (2 updates tracked since 2025).

About Tattnall Hospital Company, Llc NPPES

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

TATTNALL HOSPITAL COMPANY, LLC (NPI 1285893818), doing business as Optim Primary Care-reidsville, is a healthcare organization registered as a rural health in Reidsville, Georgia and active in the NPI registry since June 2008. The organization holds 2 active CLIA laboratory certificates and lists David Alex Villa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285893818
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTATTNALL HOSPITAL COMPANY, LLC
Location Address125 MEMORIAL DRIVEReidsville, GA 30453-4605
Mailing Address440 Mall Blvd Ste CSavannah, GA 31406-4868 · (912) 644-3340 · Fax (912) 644-5398
Fax(912) 557-6760
Organization SubpartNo
Authorized OfficialDavid Alex VillaCeo · (912) 629-7797
Enumeration DateJune 9, 2008
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1285893818 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
125 MEMORIAL DRIVE, Reidsville, GA 30453

Other Names 1

Doing Business AsOptim Primary Care-reidsville

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

CLIA Laboratory Certificates CMS CLIA 2

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 11D1018106

Tattnall Hospital Company D/B/A Optim Primary Care - Reidsville · Reidsville, GA
Active · expires Feb 19, 2027
CLIA Number11D1018106
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorDr. Joshua Wickstrom
Laboratory Phone(912) 557-3434
Laboratory LocationTattnall Hospital Company D/B/A Optim Primary Care - Reidsville125 Memorial Drive, Reidsville, GA 30453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2041755

Tattnall Hospital Company, LLC Optim Medical Center - Tattnall · Reidsville, GA
Active · expires May 29, 2028
CLIA Number11D2041755
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorDr. Joseph C. Hagarty
Laboratory Phone(912) 644-5368
Laboratory LocationTattnall Hospital Company, LLC Optim Medical Center - Tattnall257 South Main Street, Reidsville, GA 30453
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1285893818. It was assigned to this organization in the NPPES registry on June 9, 2008. The provider is doing business as Optim Primary Care-Reidsville.

Where is Tattnall Hospital Company, LLC located?

Tattnall Hospital Company, LLC is located at 125 Memorial Drive, Reidsville, GA 30453. The listed phone number is (912) 557-3434.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 14, 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.