Opt4Wellness, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33839 Issued in GA

Legal business name

OPT4WELLNESS, LLC

Practice address

2039 10TH Ave
Columbus, GA 31901-1459

Phone

(706) 566-5764

Fax

(706) 566-4377

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By 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

Dr. Stanley Wayne Himes, MDNPI 1316047400

Title

Ceo/Owner

Phone

(706) 580-4059

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Stanley Wayne Himes, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1316047400
  Authorized official Same address or phone

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1871087627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OLD GATE RD",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204777",
            "telephone_number": "706-580-4059",
            "fax_number": "706-566-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011459",
            "telephone_number": "706-566-5764",
            "fax_number": "706-566-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPT4WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "HIMES",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "706-580-4059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "33839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Onyeka, MD
• Diandra Opacki-Pimenta, RBT
• Jutta Opacki, RBT
• Open Arms Adult Day & Health Services
• Ophthalmic Surgery Center LLC
• Optimal Hearing Systems, LLC
• Optimal Hearing Systems, LLC
• Optimum Nutrition Center, Inc
• Oral & Facial Surgery of East Alabama, LLC (Oral & Facial Surgery of West Georgia)
• Orchid Personal Care Home

• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, 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 Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.