NPIMap

Organization Active NPI

Tattnall Hospital Company LLC

Doing business as Optim Medical Center - Tattnall

  • Medicare Defined Swing Bed Hospital Unit
  • Reidsville, GA
National Provider Identifier
1740440932
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
TATTNALL HOSPITAL COMPANY LLC
Doing business as
Optim Medical Center - Tattnall
Practice address
247 S Main St
Reidsville, GA 30453-4605
Phone
(912) 557-1000
Fax
(912) 557-1009
NPI assigned
Jun 11, 2008
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

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) 644-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

247 S Main St
Reidsville, GA 30453-4605

Mailing address

440 Mall Blvd Ste C
Savannah, GA 31406-4868
Phone (912) 644-5300

Other identifiers 1

IdentifierTypeStateIssuer
003260354AMedicaidGA

Other names 1

  • Optim Medical Center - Tattnall Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080620000525 GA Part A Provider - Critical Access Hospital 6204907124 Practice locations: Reidsville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740440932. Details of each certification follow.

Hospital certification: CCN 11Z323

Legal name
TATTNALL HOSPITAL COMPANY LLC
Doing business as
OPTIM MEDICAL CENTER - TATTNALL
Organization structure
LLCProprietary
Incorporated
Feb 25, 2008 in GA
Enrollment address
247 S Main St
Reidsville, GA 30453-4605
Hospital Swing-Bed Unit

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
Tattnall Medical Group21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Ownership & related parties

All disclosed owners & managing parties 17

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 Jan 2, 2009
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 Jun 1, 2015 50.38%
Jennifer B Baldock Individual Corporate OfficerOfficer Sep 1, 2017
Charles M Spivey Individual 5% Or Greater Indirect Ownership InterestPartner Feb 22, 2016
Bcpe Seminole Holdings, LP Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2017 33.86%
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%
Operational/Managerial Control Jul 1, 2010 100%
Surgery Center Holdings Inc Organization, Brentwood, TN Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2017 50.38%
Tattnall Hospital Company LLC Organization, Savannah, GA LLC Operational/Managerial Control Feb 25, 2008
David Alex Villa Individual W-2 Managing EmployeeCeo Oct 1, 2024
Operational/Managerial ControlCeo Oct 1, 2024
Bradley R Owens Individual Operational/Managerial Control Dec 2, 2019
NSH Georgia Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2015 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%
Aurora Resources, LLC Organization, Gainesville, FL LLC 5% Or Greater Indirect Ownership Interest Jul 20, 2018 6.49%

Owners & managing parties with NPI records 7

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

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 Primary Care Metter

    • Rural Health Clinic/Center
    • Metter, GA
    • NPI 1285132415

    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

    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
  • Tattnall Hospital Company, LLC

    dba Optim Medical Center - Tattnall

    • Critical Access Hospital
    • Reidsville, GA
    • NPI 1790942381

    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
  • Tattnall Hospital Company, LLC

    dba Optim Primary Care- Glennville

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

    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
  • 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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1740440932",
    "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": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534605",
            "telephone_number": "912-557-1000",
            "fax_number": "912-557-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTNALL HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "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": "912-644-3340"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003260354A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optim Medical Center - Tattnall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reidsville, GA

Sources for this page

Verify at the official NPI Registry.