Orthopedic Surgeons of Georgia LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDIC SURGEONS OF GEORGIA LLC

Doing business as

Optim Orthopedics

Practice address

17 Johnson St
Hazlehurst, GA 31539-6243

Phone

(912) 375-7005

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don Lewis

Title

Provider Enrollment

Phone

(912) 383-5620

Specialties & licenses 1

Addresses

Other names 1

• Optim Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Orthopedic Surgeons of Georgia LLC

  dba Orthopedic Surgeons of Georgia

  • Orthopaedic Surgery Physician
  • Tifton, GA
  • NPI 1205115078

  O20111110000769

  Same enrollment
• Orthopedic Surgeons of Georgia LLC

  dba Orthopedic Surgeons of Georgia

  • Orthopaedic Surgery Physician
  • Valdosta, GA
  • NPI 1306125174

  O20111110000769

  Same enrollment
• Orthopedic Surgeons of Georgia LLC

  dba Orthopedic Surgeons of Georgia

  • Orthopaedic Surgery Physician
  • Douglas, GA
  • NPI 1427337294

  O20111110000769

  Same enrollment
• Orthopedic Surgeons of Georgia, LLC

  dba Optim Pain Management - Tifton

  • Pain Clinic/Center
  • Tifton, GA
  • NPI 1164857686

  O20111110000769

  Same enrollment

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1780963553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JOHNSON ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396243",
            "telephone_number": "912-375-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JOHNSON ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396243",
            "telephone_number": "912-375-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGEONS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "912-383-5620"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optim Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Newman
• Taylor Newman
• Kwaku Oppong, MD
• Optim Orthopedics, LLC (Optim Orthopedics)
• Orthopedic Surgeons of Georgia LLC (Orthopedic Surgeons of Georgia)
• Janie M Owens, COTA
• Macie Owens
• Bonnie Pittman
• Ramay Pharmacy, LLC (Stan's Pharmacy)
• David A Ray, RPT

• Orthopaedic Surgery Physician in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.