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OPTUMMD LLC
NPI 1629816459
Internal Medicine in Atlanta, GA

Active since July 16, 2024CLIA 11D2308380 · Waiver
91 W WIEUCA RD NE STE 1000, ATLANTA, GA 30342(404) 257-5585(404) 257-9985 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optummd Llc NPPES

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

OPTUMMD LLC (NPI 1629816459) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through July 25, 2028 and lists Edward Espinosa, Do, as its authorized official.

NPPES Registry Identity

NPI1629816459
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOPTUMMD LLC
Location Address91 W WIEUCA RD NE STE 1000Atlanta, GA 30342-3289
Mailing Address91 W Wieuca Rd Ne Ste 1000Atlanta, GA 30342-3289 · (404) 257-5585 · Fax (404) 257-9985
Phone(404) 257-5585
Fax(404) 257-9985
Organization SubpartNo
Authorized OfficialEdward EspinosaDo · (404) 257-5585
Enumeration DateJuly 16, 2024
Last NPPES UpdateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1629816459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
91 W WIEUCA RD NE STE 1000, Atlanta, GA 30342
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Optummd LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Edward Espinosa, MD
Hospitalist
NPI 1851597397
91 W WIEUCA RD NE STE 1000
Atlanta, GA 30342
(404) 257-5585
✔ PECOS✔ Accepts MedicareSame address
Diana Rodgers, MD
Family Practice
NPI 1104404888
1525 CLIFTON RD NE
Atlanta, GA 30322
(404) 778-2050
✔ PECOS✔ Accepts Medicare6.5 mi
Valerie Pershad, MD
Internal Medicine
NPI 1356617344
8550 SANTA MONICA BLVD FL 2
West Hollywood, CA 90069
(909) 962-1260
✔ PECOS✔ Accepts Medicare1,943 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 Waiver 11D2308380

Optummd, LLC · Atlanta, GA
Active · expires Jul 25, 2028
CLIA Number11D2308380
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2026
Certificate Expiration DateJuly 25, 2028
Laboratory DirectorEdward A. Espinosa
Laboratory Phone(404) 257-5585
Laboratory LocationOptummd, LLC91 W Wieuca Road, NE, Bldg A 1000, Atlanta, GA 30342
CLIA data matches this NPI record on: Name Phone
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 Optummd LLC's NPI number?

The NPI number for Optummd LLC is 1629816459. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Optummd LLC located?

Optummd LLC is located at 91 W Wieuca Rd NE Ste 1000, Atlanta, GA 30342. The listed phone number is (404) 257-5585.

What is Optummd LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Optummd LLC enrolled in Medicare?

Yes. Optummd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optummd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Optummd LLC, in Family Practice, Hospitalist and Internal Medicine. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optummd LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2308380) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optummd LLC was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.