Optim Orthopedics, LLC
Organization Active NPI Orthopaedic Surgery Physician · Millen, GA
NPI 1487048153 · NPPES record last updated Mar 20, 2015
Key facts
- NPI
- 1487048153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- OPTIM ORTHOPEDICS, LLC
- Practice address
- 960 College Ave
Millen, GA 30442-1634 - Phone
- (478) 982-1500
- Fax
- (478) 982-1564
- NPI assigned
- Mar 20, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- OPTIM ORTHOPEDICS, LLC
Authorized official
- Name
- Michael W Kleinpeter
- Title
- Ceo
- Phone
- (912) 644-5300
Other NPIs on the same Medicare enrollment 30
Practitioners 1
-
Steven G Posey, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150429001342 | GA | Part B Supplier - Clinic/Group Practice | 9931427002 |
Receives reassigned benefits from 144 practitioners 30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brunswick, GA; Vidalia, GA; Statesboro, GA; Savannah, GA; Rincon, GA; Richmond Hill, GA; Metter, GA; Jesup, GA… |
National Provider Directory
- Part of
- Optim Orthopedics LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
960 College Ave
Millen, GA 30442-1634
Mailing address
210 E Derenne Ave
Attn.: Provider Enrollment
Savannah, GA 31405-6736
Phone (912) 644-5300
Other names
- Optim Orthopedics
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All providers in Millen, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.