Optummd LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OPTUMMD LLC

Practice address

91 W Wieuca Rd NE Ste 1000
Atlanta, GA 30342-3289

Phone

(404) 257-5585

Fax

(404) 257-9985

NPI assigned

Jul 16, 2024

Organization subpart

No

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

Authorized official

Name

Edward EspinosaNPI 1851597397

Title

DO

Phone

(404) 257-5585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Antonio Espinosa, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1851597397
  Medicare reassignment Care Compare group NPD Authorized official
• Valerie Pershad, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1356617344
  Medicare reassignment Care Compare group NPD
• Diana Rodgers, MD

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1104404888
  Medicare reassignment

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1629816459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W WIEUCA RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423289",
            "telephone_number": "404-257-5585",
            "fax_number": "404-257-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W WIEUCA RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423289",
            "telephone_number": "404-257-5585",
            "fax_number": "404-257-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "404-257-5585"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Wound Care Services, LLC
• Optique at Brookhaven, LLC
• Optique at West Paces LLC
• Optique PCM
• Optique Sandy Springs, LLC
• Opulent Home Care LTD. Co.
• Opulent Wellness LLC
• Angel Opuni
• Ngozi Orabueze, APRN-FNP
• Chika C Oraka, NP

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.