Provider Type Icon

TATTNALL HOSPITAL COMPANY LLC NPI 1790159861


NPI Information

NPI: 1790159861
Provider Name: TATTNALL HOSPITAL COMPANY, LLC

Doing Business As: OPTIM PAIN MANAGEMENT

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D2053511

Address:
322 STEPHENSON AVE
SUITE A
SAVANNAH, GA
ZIP 31405
Phone: (912) 644-5300
Get Directions

TATTNALL HOSPITAL COMPANY, LLC is a pain medicine physical medicine rehabilitation in Savannah, GA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. TATTNALL HOSPITAL COMPANY, LLC NPI is 1790159861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optim Pain Management.

The provider's business location address is:

322 STEPHENSON AVE
SUITE A
SAVANNAH, GA
ZIP 31405-998
Phone: (912) 644-5300
Fax: (912) 644-5280

The provider's authorized official is David Perry .
The authorized official title is Secretary Of Tattnall Hospital and has the following contact phone number (912) 644-5300.

The CLIA number assigned to this NPI record is 11D2053511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2015 and was last updated on 7/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryNo
2207X00000XOrthopaedic SurgeryNo
3208100000XPhysical Medicine & RehabilitationNo
42081P2900XPhysical Medicine & RehabilitationPain MedicineYes
52084P2900XPsychiatry & NeurologyPain MedicineNo
6208600000XSurgeryNo
7208VP0000XPain MedicinePain MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.