Active NPI
Optimum Health Rehab of Hiram LLC
- General Practice Physician
- Hiram, GA
National Provider Identifier
1982010732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- OPTIMUM HEALTH REHAB OF HIRAM LLC
- Practice address
- 47 Highland Pavilion CT Ste 102
Hiram, GA 30141-4119 - Phone
- (770) 439-6997
- Fax
- (770) 439-0997
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Shelton
- Title
- Operations MGR
- Phone
- (678) 730-6240
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
47 Highland Pavilion CT Ste 102
Hiram, GA 30141-4119
Mailing address
2133 Highway 317 Ste 12-318
Suwanee, GA 30024-2649
Phone (678) 730-6240
Other names 1
- Optimum Health Hiram LLC
National Provider Directory
National Provider DirectoryLocations
47 Highland Pavilion Ct
Ste 102
Hiram, GA 30141
Phone (770) 439-6997
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hiram, GA
- NPI 1689332660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1982010732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 HIGHWAY 317 STE 12-318",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242649",
"telephone_number": "678-730-6240",
"fax_number": "678-730-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 HIGHLAND PAVILION CT STE 102",
"city": "HIRAM",
"state": "GA",
"postal_code": "301414119",
"telephone_number": "770-439-6997",
"fax_number": "770-439-0997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH REHAB OF HIRAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OPERATIONS MGR",
"authorized_official_telephone_number": "678-730-6240"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimum Health Hiram LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.