# TATTNALL HOSPITAL COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TATTNALL HOSPITAL COMPANY, LLC
- **Other names:** Optim Medical Center Tattnall Swainsboro
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467883892
- **Legal business name:** TATTNALL HOSPITAL COMPANY, LLC
- **Authorized official:** DAVID ALEX VILLA (CEO)
- **Authorized official phone:** (912) 629-7797

## Contact information

- **Practice address:** 119B VICTORY DR, SWAINSBORO, GA 30401-3234
- **Practice address phone:** (478) 289-3198
- **Practice address fax:** (478) 289-6363
- **Mailing address:** 440 MALL BLVD STE C, SAVANNAH, GA 31406-4868
- **Mailing address phone:** (912) 644-3340
- **Mailing address fax:** (912) 644-5398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 01/08/2026