NPIMap

Organization Active NPI

Optim Orthopedics, LLC

Doing business as Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Hinesville, GA
National Provider Identifier
1225492341
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OPTIM ORTHOPEDICS, LLC
Doing business as
Optim Orthopedics
Practice address
790 Veterans Pkwy
Suite 111
Hinesville, GA 31313-3915
Phone
(912) 877-4400
Fax
(912) 877-4404
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTIM ORTHOPEDICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Mark Miller
Title
Chief Practice Administrator
Phone
(912) 644-1626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

790 Veterans Pkwy
Suite 111
Hinesville, GA 31313-3915

Mailing address

460 Mall Blvd
Suite B
Savannah, GA 31406-4801
Phone (912) 644-1626

Other names 1

  • Optim Orthopedics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optim Orthopedics LLC13 organizations share this tax ID, including this one
Part of
Optim Orthopedics LLC

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1225492341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MALL BLVD",
            "address_2": "SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064801",
            "telephone_number": "912-644-1626",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VETERANS PKWY",
            "address_2": "SUITE 111",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133915",
            "telephone_number": "912-877-4400",
            "fax_number": "912-877-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIM ORTHOPEDICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIM ORTHOPEDICS, LLC",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-644-1626"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optim Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.