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TATTNALL HOSPITAL COMPANY, LLC
NPI 1972762508
Clinic/Center - Rural Health in Glennville, GA

Active since June 09, 2008CLIA 11D1095526 · Waiver
1000B NORTH VETERANS BLVD, GLENNVILLE, GA 30427(912) 654-4599(912) 654-4648 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 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 1972762508), doing business as Optim Primary Care- Glennville, is a healthcare organization registered as a rural health in Glennville, Georgia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists David Alex Villa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972762508
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTATTNALL HOSPITAL COMPANY, LLC
Location Address1000B NORTH VETERANS BLVDGlennville, GA 30427-8603
Mailing Address440 Mall Blvd Ste CSavannah, GA 31406-4868 · (912) 644-3340 · Fax (912) 644-5398
Phone(912) 654-4599
Fax(912) 654-4648
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 1972762508 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
1000B NORTH VETERANS BLVD, Glennville, GA 30427
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Other Names 1

Doing Business AsOptim Primary Care- Glennville

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 11D1095526

Tattnal Hospital Company D/B/A Optim Primary Care-Glennville · Glennville, GA
Active · expires Feb 10, 2027
CLIA Number11D1095526
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorJoshua Wickstrom
Laboratory Phone(912) 654-4599
Laboratory LocationTattnal Hospital Company D/B/A Optim Primary Care-Glennville1000 B N Veterans Blvd, Glennville, GA 30427
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 Tattnall Hospital Company, LLC's NPI number?

The NPI number for Tattnall Hospital Company, LLC is 1972762508. It was assigned to this organization in the NPPES registry on June 9, 2008. The provider is doing business as Optim Primary Care- Glennville.

Where is Tattnall Hospital Company, LLC located?

Tattnall Hospital Company, LLC is located at 1000B North Veterans Blvd, Glennville, GA 30427. The listed phone number is (912) 654-4599.

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 11D1095526) is associated with this NPI, valid through February 10, 2027. 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 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.