Organization Active NPI

Optum Women'S and Children'S Health, LLC

  • Durable Medical Equipment & Medical Supplies
  • Marietta, GA
National Provider Identifier
1073561825
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC
Practice address
877 Franklin Gtwy SE Ste 205
Marietta, GA 30067-8036
Phone
(469) 608-4055
NPI assigned
May 4, 2006
Organization subpart
Yes
Parent organization
MY WELLNESS SOLUTIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeanne Shingleton
Title
Secretary
Phone
(612) 632-2592

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

877 Franklin Gtwy SE Ste 205
Marietta, GA 30067-8036

Mailing address

2100 Riveredge Pkwy Ste 400
Atlanta, GA 30328-4663
Phone (763) 797-2315

Other practice location 1

1 Olympic Pl Ste 913
Towson, MD 21204-4104
Phone (410) 583-7272

Other practice location 2

2100 Riveredge Pkwy Ste 400
Atlanta, GA 30328-4663
Phone (800) 456-4070

Other identifiers 2

IdentifierTypeStateIssuer
559209OtherAETNA
00924448AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200529000222 MD DME Supplier - Medical Supply Company 4183045164 Practice locations: Towson, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Optum Women'S and Children'S Health1 Olympic Place, Towson, MD 21204-4104(800) 950-3963 External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies Does not accept assignmentParticipating since Mar 2, 2020

National Provider Directory

National Provider Directory
Tax ID family
Optum Women'S and Children'S Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 1st St NE
Ste 1020
Washington, DC 20002
Phone (202) 906-8353

7901 SW 6th Ct
Ste 400
Plantation, FL 33324
Phone (954) 370-1700

877 Franklin Gtwy SE
Ste 205
Marietta, GA 30067
Phone (469) 608-4055

2100 Riveredge Pkwy
Sandy Springs, GA 30328
Phone (888) 445-8745

2100 Riveredge Pkwy
Ste 400
Sandy Springs, GA 30328
Phone (800) 456-4070

1 Olympic Pl
#914
Towson, MD 21204
Phone (800) 950-3963

9020 Stony Point Pkwy
Ste 350
Richmond, VA 23235
Phone (952) 202-9755

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1073561825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RIVEREDGE PKWY STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284663",
            "telephone_number": "763-797-2315",
            "fax_number": "844-897-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 FRANKLIN GTWY SE STE 205",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678036",
            "telephone_number": "469-608-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Olympic Pl Ste 913",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212044104",
            "country_code": "US",
            "telephone_number": "410-583-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Riveredge Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284663",
            "country_code": "US",
            "telephone_number": "800-456-4070",
            "fax_number": "844-897-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY WELLNESS SOLUTIONS, LLC",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "SHINGLETON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "612-632-2592"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "559209",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00924448A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.