OPTIM PRIMARY CARE-VIDALIA
NPI 1154614360
Family Medicine in Vidalia, GA

NPI Status: Active since May 20, 2011

Contact Information

1811 EDWINA DRIVE
VIDALIA, GA
ZIP 30474
Phone: (912) 537-9779
Fax: (912) 537-2124

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  • Organization
  • Family Medicine

About OPTIM PRIMARY CARE-VIDALIA

This page provides the complete NPI Profile along with additional information for Optim Primary Care-vidalia, a primary care provider established in Vidalia, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1154614360 assigned on May 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Optim Primary Care-vidalia operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Optim Primary Care-vidalia. The authorized official of this NPI record is Michael W. Kleinpeter (Ceo)

NPI
1154614360
Provider Legal Name
TATTNALL HOSPITAL COMPANY, LLC
Other Organization Name
OPTIM PRIMARY CARE-VIDALIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1811 EDWINA DRIVE VIDALIA, GA 30474
Location Phone
(912) 537-9779
Location Fax
(912) 537-2124
Mailing Address
210 E. DERENNE AVE SAVANNAH, GA 61405
Mailing Phone
(912) 644-5300
Mailing Fax
(912) 537-2124
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2011
Last Update Date
01-10-2012
Code Navigator

A primary care provider (PCP) like Optim Primary Care-vidalia sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL W. KLEINPETER

Authorized Official Title
CEO
Authorized Official Phone
(912) 644-5300

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154614360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041218312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 1 + 8 + 3 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1154614360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154614360, enumerated in the NPI registry as an "organization" on May 20, 2011

The provider is located at 1811 Edwina Drive Vidalia, Ga 30474 and the phone number is (912) 537-9779

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on May 20, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.