NPIMap

Organization Active NPI

Tattnall Hospital Company, LLC

Doing business as Optim Primary Care Metter

  • Rural Health Clinic/Center
  • Metter, GA
National Provider Identifier
1285132415
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TATTNALL HOSPITAL COMPANY, LLC
Doing business as
Optim Primary Care Metter
Practice address
380A Cedar St
Metter, GA 30439
Phone
(800) 827-6536
Fax
(912) 644-5260
NPI assigned
Jan 23, 2018
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TATTNALL HOSPITAL COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
David Alex Villa
Title
Ceo
Phone
(912) 629-7797

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

380A Cedar St
Metter, GA 30439

Mailing address

440 Mall Blvd Ste C
Savannah, GA 31406-4868
Phone (912) 629-3527

Other names 1

  • Optim Primary Care Metter Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080915000167 GA Part B Supplier - Clinic/Group Practice 6204907124 Receives reassigned benefits from 63 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Reidsville, GA; Swainsboro, GA; Richmond Hill, GA; Rincon, GA; Sandersville, GA; Savannah, GA; Statesboro, GA; Sylvania, GA…
O20090621000003 GA Part A Provider - Rural Health Clinic 6204907124 1 other NPI on this enrollment
Practice locations: Metter, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285132415. Details of each certification follow.

Rural health clinic certification: CCN 118512

Legal name
TATTNALL HOSPITAL COMPANY LLC
Doing business as
OPTIM PRIMARY CARE - METTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 18, 2006
Last certification
Aug 17, 2023
Ownership / control type
1B
Most recent change of ownership
Feb 25, 2008 (1 total)
Organization structure
LLCProprietary
Incorporated
Feb 25, 2008 in GA
Enrollment address
380A Cedar St
Metter, GA 30439-4042
Related CCNs
111323

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Tattnal Hosp Comp21 organizations share this tax ID, including this one
Part of
Tattnal Hosp Comp

Other organizations with this tax ID 20

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

View all 20

Locations

821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 637-5486

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bradley a Heiges Individual 5% Or Greater Indirect Ownership InterestPartner Dec 1, 2008 5.59%
SP Holdco I Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2017 50.38%
National Surgical Hospitals, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2017 50.38%
Jennifer B Baldock Individual Corporate OfficerOfficer Sep 1, 2019
Charles M Spivey Individual 5% Or Greater Indirect Ownership InterestPartner Feb 22, 2016 6.49%
Bcpe Seminole Holdings, LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Sep 1, 2017 33.86%
Aurora Resources, LLC Organization, Gainesville, FL LLC 5% Or Greater Indirect Ownership Interest Jul 20, 2018 6.49%
Tattnall Chatham, LP Organization, Savannah, GA 5% Or Greater Direct Ownership Interest Jun 1, 2015 49.61%
Surgery Partners Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2017 50.38%
Community Hospital Holding Company, LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Jul 1, 2010 50.39%
Surgery Center Holdings Inc Organization, Brentwood, TN Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2017 50.38%
David Alex Villa Individual W-2 Managing EmployeeCeo Oct 1, 2024
Operational/Managerial ControlCeo Oct 1, 2024
Bradley R Owens Individual Corporate OfficerNat Group Pres for Surgery Partners Dec 2, 2019
Other Dec 2, 2019
NSH Georgia Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2017 50.38%
Heiges-Chatham, Inc Organization, Savannah, GA Corporation 5% Or Greater Indirect Ownership Interest Jul 13, 2018 5.59%
Surgery Center Holdings LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2017 50.38%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Optim Medical Center - TattnallReidsville, GA, CCN 11Z323 Hospital Operational/Managerial Control Feb 25, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Screven County Family Health Center, LLC

    dba Optim Primary Care - Sylvania

    • Rural Health Clinic/Center
    • Sylvania, GA
    • NPI 1841432044

    Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
  • Screven County Hospital LLC

    dba Optim Primary Care Millen

    • Rural Health Clinic/Center
    • Millen, GA
    • NPI 1033428214

    Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
  • Screven County Hospital LLC

    dba Optim Medical Center - Screven

    • Medicare Defined Swing Bed Hospital Unit
    • Sylvania, GA
    • NPI 1083915524

    Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
  • Screven County Hospital, LLC

    dba Optim Medical Center - Screven

    • Critical Access Hospital
    • Sylvania, GA
    • NPI 1225339898

    Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
  • Tattnall Hospital Company LLC

    dba Optim Medical Center - Tattnall

    • Medicare Defined Swing Bed Hospital Unit
    • Reidsville, GA
    • NPI 1740440932

    Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, Heiges-Chatham, Inc, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc, Tattnall

    CMS ownership
  • Tattnall Hospital Company, LLC

    dba Optim Primary Care-Reidsville

    • Rural Health Clinic/Center
    • Reidsville, GA
    • NPI 1285893818

    Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, Heiges-Chatham, Inc, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc, Tattnall

    CMS ownership
  • Tattnall Hospital Company, LLC

    dba Optim Medical Center - Tattnall

    • Critical Access Hospital
    • Reidsville, GA
    • NPI 1790942381

    Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, Heiges-Chatham, Inc, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc, Tattnall

    CMS ownership
  • Tattnall Hospital Company, LLC

    dba Optim Primary Care- Glennville

    • Rural Health Clinic/Center
    • Glennville, GA
    • NPI 1972762508

    Aurora Resources, LLC, Bcpe Seminole Holdings, LP, Community Hospital Holding Company, LLC, Heiges-Chatham, Inc, National Surgical Hospitals, LLC, NSH Georgia Inc, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery

    CMS ownership
  • Animas Surgical Hospital, LLC

    dba Animas Surgical Hospital

    • General Acute Care Hospital
    • Durango, CO
    • NPI 1508842964

    Bcpe Seminole Holdings, LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
  • Arizona Spine and Joint Hospital LLC
    • General Acute Care Hospital
    • Mesa, AZ
    • NPI 1396745832

    Bcpe Seminole Holdings, LP, National Surgical Hospitals, LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
  • Brazos Valley Physicians Organization,Mso-LLC

    dba The Physicians Pain and Spine Centre

    • General Acute Care Hospital
    • Bryan, TX
    • NPI 1801817135

    National Surgical Hospitals, LLC, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
  • CMSC, LLC

    dba Great Falls Clinic Hospital

    • General Acute Care Hospital
    • Great Falls, MT
    • NPI 1639109978

    Bcpe Seminole Holdings, LP, SP Holdco I Inc, Surgery Center Holdings Inc, Surgery Center Holdings LLC, Surgery Partners Inc

    CMS ownership
View all 23

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1285132415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MALL BLVD STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064868",
            "telephone_number": "912-629-3527",
            "fax_number": "912-644-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380A CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "30439",
            "telephone_number": "800-827-6536",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTNALL HOSPITAL COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TATTNALL HOSPITAL COMPANY, LLC",
        "enumeration_date": "2018-01-23",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-629-7797"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optim Primary Care Metter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metter, GA

Sources for this page

Verify at the official NPI Registry.