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TATTNALL HOSPITAL COMPANY LLC NPI 1063929412


NPI Information

NPI: 1063929412
Provider Name: TATTNALL HOSPITAL COMPANY, LLC

Doing Business As: OPTIM PAIN MANAGEMENT STATESBORO

Classification: Pain Medicine - 208VP0000X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D0968381

Address:
1601 FAIR RD STE 800
STATESBORO, GA
ZIP 30458
Phone: (800) 827-6536
Get Directions

TATTNALL HOSPITAL COMPANY, LLC is a pain medicine pain medicine in Statesboro, GA. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. TATTNALL HOSPITAL COMPANY, LLC NPI is 1063929412. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optim Pain Management Statesboro.

The provider's business location address is:

1601 FAIR RD STE 800
STATESBORO, GA
ZIP 30458-800
Phone: (800) 827-6536
Fax: (912) 644-5260

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

The CLIA number assigned to this NPI record is 11D0968381 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 8/19/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryNo
2207X00000XOrthopaedic SurgeryNo
3208100000XPhysical Medicine & RehabilitationNo
42081P2900XPhysical Medicine & RehabilitationPain MedicineNo
52084P2900XPsychiatry & NeurologyPain MedicineNo
6208600000XSurgeryNo
7208VP0000XPain MedicinePain MedicineYes

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: 5/5/2024

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