| Optim Primary Care - Sylvania | |
|
105 Rocky Ford Rd Sylvania GA 30467-2027 | |
| (912) 564-7133 | |
| (912) 564-2617 |
| Full Name | Optim Primary Care - Sylvania |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Rocky Ford Rd, Sylvania, Georgia |
| Authorized Official Name and Position | Julie Wittwer (CFO) |
| Authorized Official Contact | 5056959410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optim Primary Care - Sylvania 460 Mall Blvd Ste B Savannah GA 31406-4891 Ph: (912) 644-5300 | Optim Primary Care - Sylvania 105 Rocky Ford Rd Sylvania GA 30467-2027 Ph: (912) 564-7133 |
| NPI Number | 1841432044 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 4981756624 |
|---|---|
| Medicare Enrollment ID | O20090710000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841432044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 021262 (Georgia) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Georgia) | Primary |
| Provider Name | Karen B Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679516777 PECOS PAC ID: 5991843625 Enrollment ID: I20091117000341 |
| Provider Name | Sidney James Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992940258 PECOS PAC ID: 0143453126 Enrollment ID: I20160902001041 |
Clark Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 W Ogeechee St, Sylvania, GA 30467 Phone: 912-451-4100 Fax: 912-451-4105 | |
East Georgia Healthcare Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Mims Rd, Sylvania, GA 30467 Phone: 912-451-5887 Fax: 912-451-5886 | |
Screven County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Mims Road, Sylvania, GA 30467 Phone: 912-564-9285 Fax: 912-564-2174 | |
Memorial Health Screven County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Rocky Ford Road, Sylvania, GA 30467 Phone: 912-564-7133 Fax: 912-564-2619 | |
Screven Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Mims Rd, Sylvania, GA 30467 Phone: 912-564-2779 Fax: 912-564-5888 | |
Screven Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Mims Rd, Sylvania, GA 30467 Phone: 912-303-7729 Fax: 912-564-2174 |